Crossville Chiropractic Health Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

696 Issued in AL

Legal business name

CROSSVILLE CHIROPRACTIC HEALTH CENTER

Doing business as

Protz Chiropractic Wellness Clinic

Practice address

12815 US Highway 431
Sardis City, AL 35956-2046

Phone

(256) 593-3551

Fax

(256) 593-4603

NPI assigned

Jan 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Andrew Protz, D.C.NPI 1750436325

Title

President

Phone

(256) 593-3551

Specialties & licenses 1

Addresses

Other names 1

• Protz Chiropractic Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Crossville Chiropractic Health Center

  • Chiropractor
  • Crossville, AL
  • NPI 1821146648

  O20051129000408

  Same enrollment

Practitioners 2

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

• Tauret P. Burke, D.C.

  • Chiropractor
  • Sardis City, AL
  • NPI 1720131386
  Medicare reassignment NPD
• Paul Andrew Protz Jr., D.C.

  • Chiropractor
  • Sardis City, AL
  • NPI 1750436325
  NPD (past) Authorized official

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912055104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 US HIGHWAY 431",
            "city": "SARDIS CITY",
            "state": "AL",
            "postal_code": "359562046",
            "telephone_number": "256-593-3551",
            "fax_number": "256-593-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 US HIGHWAY 431",
            "city": "SARDIS CITY",
            "state": "AL",
            "postal_code": "359562046",
            "telephone_number": "256-593-3551",
            "fax_number": "256-593-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROTZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-593-3551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Protz Chiropractic Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tauret P. Burke, D.C.
• Family Medicine of Sardis PC
• Agustin Gilbert R Flores, MD
• Evan Michael Johnson, D.O.
• Cherie L Keahey, CRNP
• Robert Lee McClendon Jr., RPH

• Chiropractor in Sardis City, AL
• Providers in Sardis City, AL by specialty
• Chiropractor in Alabama

• 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.
• 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.