NPIMap

Organization Active NPI

Chase Chiropractic Center

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1902900475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
979 Issued in AL
Legal business name
CHASE CHIROPRACTIC CENTER
Practice address
5175 Moores Mill Road
Huntsville, AL 35811
Phone
(256) 859-0440
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian T. Clark, D.C.NPI 1104920669
Title
Owner
Phone
(256) 859-0440

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 979 AL Primary

Addresses

Primary practice location

5175 Moores Mill Road
Huntsville, AL 35811

Mailing address

5175 Moores Mill Road
Huntsville, AL 35811
Phone (256) 859-0440

Other names 1

  • Dr. Brian T. Clark, DC Other name

National Provider Directory

National Provider Directory

Locations

5175 Moores Mill Rd
Huntsville, AL 35811
Phone (256) 859-0440

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": "1598054400000",
    "number": "1902900475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 MOORES MILL ROAD",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35811",
            "telephone_number": "256-859-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 MOORES MILL ROAD",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35811",
            "telephone_number": "256-859-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-859-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Brian T. Clark, DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.