Organization Active NPI

Coastal Chiropractic and Acupuncture LLC

  • Chiropractor
  • Foley, AL
National Provider Identifier
1972045995
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2478 Issued in AL
Legal business name
COASTAL CHIROPRACTIC AND ACUPUNCTURE LLC
Practice address
2130 Bourbon St
Foley, AL 36535-2463
Phone
(740) 808-2779
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Todd B WaltersNPI 1619035300
Title
Owner/President
Phone
(251) 943-7941

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 2478 AL Primary

Addresses

Primary practice location

2130 Bourbon St
Foley, AL 36535-2463

Mailing address

2130 Bourbon St
Foley, AL 36535-2463
Phone (251) 201-9242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170403000159 AL Part B Supplier - Clinic/Group Practice 7911282066 Receives reassigned benefits from 1 practitioner
Practice locations: Foley, AL

National Provider Directory

National Provider Directory

Locations

1705 S McKenzie St
Ste 4
Foley, AL 36535
Phone (251) 943-7941

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": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1972045995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 BOURBON ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352463",
            "telephone_number": "251-201-9242",
            "fax_number": "251-943-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 BOURBON ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352463",
            "telephone_number": "740-808-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC AND ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "251-943-7941"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.