Active NPI
Detra Cale-Ellis, D.C.
- Chiropractor
- Hamilton, AL
National Provider Identifier
1962673251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1634
- Practice address
- 595 Bexar Ave W
Hamilton, AL 35570 - Phone
- (205) 401-8437
- NPI assigned
- Mar 14, 2008
- Last updated
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1634 | AL | Primary |
Addresses
Primary practice location
595 Bexar Ave W
Hamilton, AL 35570
Mailing address
PO Box 1334
Hamilton, AL 35570-1334
Phone (205) 401-8437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1634 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1962673251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1334",
"city": "HAMILTON",
"state": "AL",
"postal_code": "355701334",
"telephone_number": "205-401-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 BEXAR AVE W",
"city": "HAMILTON",
"state": "AL",
"postal_code": "35570",
"telephone_number": "205-401-8437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALE-ELLIS",
"first_name": "DETRA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, AL
- Boyett Health Services, Inc.
- Brent Edgeworth Boyett, DMD, DO
- Tanya Brasher, DNP MSN FNP-C RN LNH
- Kellie Ann Bullard, LPC
- Buttahatchee River Emergency Physicians LLC
- Morgan Lashay Calvert, RN
- Danielle Lashaun Carter, DPT
- Larry D Carter, O.D.
- Center for Cosmetic Dentistry and Orthodontics
- CJ Sandlin LLC (Fred's Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.