Organization Active NPI

Dr 10S Chiropractic Center LLC

  • Chiropractor
  • Gadsden, AL
National Provider Identifier
1962694968
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2090 Issued in AL
Legal business name
DR 10S CHIROPRACTIC CENTER LLC
Practice address
2007 Rainbow Dr
Gadsden, AL 35901
Phone
(256) 543-0009
Fax
(256) 549-1221
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Shan Tian, DCNPI 1215014782
Title
Owner
Phone
(256) 543-0009

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 2090 AL Primary

Addresses

Primary practice location

2007 Rainbow Dr
Gadsden, AL 35901

Mailing address

2007 Rainbow Dr
Gadsden, AL 35901
Phone (256) 543-0009

Other identifiers 2

IdentifierTypeStateIssuer
1215014782OtherALINDIVIDUAL NPI
51521733OtherALBCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000021 AL Part B Supplier - Clinic/Group Practice 0547226961 Receives reassigned benefits from 1 practitioner
Practice locations: Gadsden, AL

National Provider Directory

National Provider Directory

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1962694968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35901",
            "telephone_number": "256-543-0009",
            "fax_number": "256-549-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35901",
            "telephone_number": "256-543-0009",
            "fax_number": "256-549-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR 10S CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "TIAN",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-543-0009",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215014782",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51521733",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.