Active NPI
Galloway Chiropractic Center, LLC
- Chiropractor
- Boaz, AL
National Provider Identifier
1871697367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Galloway, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051113379 | Other | AL | BC AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110314000580 | AL | Part B Supplier - Clinic/Group Practice | 4183806037 |
Receives reassigned benefits from 1 practitioner Practice locations: Boaz, AL |
National Provider Directory
National Provider DirectoryLocations
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.