NPIMap

Organization Active NPI

CFC2 LLC

Doing business as Cornerstone Family Chiropractic

  • Chiropractor
  • Phenix City, AL
National Provider Identifier
1982292512
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CFC2 LLC
Doing business as
Cornerstone Family Chiropractic
Practice address
5415 Summerville Rd Ste a
Phenix City, AL 36867-7366
Phone
(334) 650-7244
Fax
(888) 505-3765
NPI assigned
Jan 8, 2021
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Russell David Herring, DCNPI 1659665719
Title
Owner
Phone
(334) 650-7244

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 Primary

Addresses

Primary practice location

5415 Summerville Rd Ste a
Phenix City, AL 36867-7366

Mailing address

5415 Summerville Rd Ste a
Phenix City, AL 36867-7366
Phone (334) 650-7244

Other names 1

  • Cornerstone Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223002485 AL Part B Supplier - Clinic/Group Practice 5799190872 Receives reassigned benefits from 6 practitioners
Practice locations: Phenix City, AL

National Provider Directory

National Provider Directory

Locations

5415 Summerville Rd
Ste A
Phenix City, AL 36867
Phone (334) 650-7244

Practitioners & affiliated clinicians

Practitioners 7

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": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1982292512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SUMMERVILLE RD STE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677366",
            "telephone_number": "334-650-7244",
            "fax_number": "888-505-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SUMMERVILLE RD STE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677366",
            "telephone_number": "334-650-7244",
            "fax_number": "888-505-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFC2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-650-7244",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.