Individual provider Active NPI

Jeffrey Doyle Parker, D.C.

  • Chiropractor
  • Calera, AL
National Provider Identifier
1932286853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004 Issued in AL
Practice address
245 Supercenter Dr
Calera, AL 35040-5195
Phone
(205) 668-6880
Fax
(205) 668-6881
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2004 AL Primary

Addresses

Primary practice location

245 Supercenter Dr
Calera, AL 35040-5195

Mailing address

245 Supercenter Dr
Calera, AL 35040-5195
Phone (205) 668-6880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000737 AL Practitioner - Chiropractic 7517025109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

245 Supercenter Dr
Calera, AL 35040-5195
Phone (205) 668-6880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Family Chiropractic, Inc Chiropractor CurrentSince Oct 6, 2001 Accepting new patients

Locations

245 Supercenter Dr
Calera, AL 35040
Phone (205) 668-6880

245 Supercenter Dr
Ste B4
Calera, AL 35040

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932286853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SUPERCENTER DR",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350405195",
            "telephone_number": "205-668-6880",
            "fax_number": "205-668-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SUPERCENTER DR",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350405195",
            "telephone_number": "205-668-6880",
            "fax_number": "205-668-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JEFFREY",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.