Organization Active NPI

Alabama Chiropractic Spine & Joint Clinic

  • Chiropractor
  • Florence, AL
National Provider Identifier
1962993691
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2320 Issued in AL
Legal business name
ALABAMA CHIROPRACTIC SPINE & JOINT CLINIC
Practice address
100 Pine Brook Dr
Florence, AL 35633
Phone
(731) 607-5952
NPI assigned
May 29, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Bailey Carroll, DCNPI 1184927568
Title
Physician/Owner
Phone
(256) 284-7179

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
Chiropractor 111N00000X 2320 AL Primary

Addresses

Primary practice location

100 Pine Brook Dr
Florence, AL 35633

Mailing address

100 Pine Brook Dr
Florence, AL 35633-1137
Phone (731) 607-5952

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120001150 AL Part B Supplier - Clinic/Group Practice 1052665536 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

100 Pine Brook Dr
Florence, AL 35633
Phone (256) 284-7179

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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1962993691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINE BROOK DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331137",
            "telephone_number": "731-607-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINE BROOK DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35633",
            "telephone_number": "731-607-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA CHIROPRACTIC SPINE & JOINT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "256-284-7179",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.