Active NPI
Meares Family Chiropractic, Inc
- Chiropractor
- Killen, AL
National Provider Identifier
1942408877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2106
- Legal business name
- MEARES FAMILY CHIROPRACTIC, INC
- Practice address
- 5750 Highway 72 East
Killen, AL 35645 - Phone
- (256) 757-3307
- Fax
- (256) 757-3306
- NPI assigned
- Jul 3, 2007
- Last updated
- Aug 22, 2020
- 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. Jerrell Joel Meares, DC
- Title
- President
- Phone
- (256) 757-3307
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 | 2106 | AL | Primary |
Addresses
Primary practice location
5750 Highway 72 East
Killen, AL 35645
Mailing address
5750 Highway 72 East
Killen, AL 35645
Phone (256) 757-3307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51539277 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5750 Highway 72
Killen, AL 35645
Phone (256) 757-3307
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Killen, AL
- NPI 1376557413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942408877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 HIGHWAY 72 EAST",
"city": "KILLEN",
"state": "AL",
"postal_code": "35645",
"telephone_number": "256-757-3307",
"fax_number": "256-757-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 HIGHWAY 72 EAST",
"city": "KILLEN",
"state": "AL",
"postal_code": "35645",
"telephone_number": "256-757-3307",
"fax_number": "256-757-3306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEARES FAMILY CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MEARES",
"authorized_official_first_name": "JERRELL",
"authorized_official_middle_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-757-3307",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AL",
"license": "2106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51539277",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Killen, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.