Clyde L Shown, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0146 Issued in AL

Practice address

660 McQueen Smith Rd N Ste E
Prattville, AL 36066-7559

Phone

(334) 361-9500

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autauga Spine Center PC

  • Chiropractor
  • Prattville, AL
  • NPI 1063885663
  NPD (past)

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1871874396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BRYAN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665340",
            "telephone_number": "334-361-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MCQUEEN SMITH RD N STE E",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667559",
            "telephone_number": "334-361-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWN",
        "first_name": "CLYDE",
        "middle_name": "L",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "0146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0146",
            "identifier": "0146",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharpes Home Medical Equipment
• Timothy Chase Shelton, PHARM.D.
• Aaron T. Shinkle, M.D.
• Shelby Shirah
• Shondas on Time Transportation LLC
• Kaylee Simmons
• Krista Danielle Simpson, CRNP
• Melanie Smith, CAREGIVER
• William Smith
• Social Work Solutions

• Chiropractor in Prattville, AL
• Providers in Prattville, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.