Organization Active NPI

Galloway Chiropractic Center, LLC

  • Chiropractor
  • Boaz, AL
National Provider Identifier
1871697367
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1771 Issued in AL
Legal business name
GALLOWAY CHIROPRACTIC CENTER, LLC
Practice address
110 N Main St
Boaz, AL 35957-1626
Phone
(256) 593-6363
Fax
(256) 593-1965
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Galloway, DCNPI 1730283219
Title
President
Phone
(256) 593-6363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1771 AL Primary

Addresses

Primary practice location

110 N Main St
Boaz, AL 35957-1626

Mailing address

110 N Main St
Boaz, AL 35957-1626
Phone (256) 593-6363

Other identifiers 1

IdentifierTypeStateIssuer
051113379OtherALBC AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000580 AL Part B Supplier - Clinic/Group Practice 4183806037 Receives reassigned benefits from 1 practitioner
Practice locations: Boaz, AL

National Provider Directory

National Provider Directory

Locations

106 N McCleskey St
Boaz, AL 35957
Phone (256) 593-6363

110 N Main St
Boaz, AL 35957
Phone (256) 593-6363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1871697367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571626",
            "telephone_number": "256-593-6363",
            "fax_number": "256-593-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571626",
            "telephone_number": "256-593-6363",
            "fax_number": "256-593-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-593-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC AL",
            "identifier": "051113379",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.