Individual provider Active NPI

Amanda Clark Seltzer, DC

  • Chiropractor
  • Owens Cross Roads, AL
National Provider Identifier
1982638417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2168 Issued in AL
Practice address
6388B Highway 431 S Ste 3
Owens Cross Roads, AL 35763-9298
Phone
(256) 536-8400
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2168 AL Primary

Addresses

Primary practice location

6388B Highway 431 S Ste 3
Owens Cross Roads, AL 35763-9298

Mailing address

6388B Highway 431 S Ste 3
Owens Cross Roads, AL 35763-9298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000592 PA Practitioner - Chiropractic 5395742621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maloney Chiropractic LLCGroup PAC ID 7618152802, 2 clinicians

Practice addresses (Care Compare)

1924 Old Berwick Rd
Bloomsburg, PA 17815-3036
Phone (570) 784-2811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2168ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Cove Chiropractic, LLC Chiropractor Current Accepting new patients
Maloney Chiropractic LLC Chiropractor CurrentSince Apr 1, 2022 Accepting new patients
Russell M Hoch Chiropractor PastSince Sep 1, 2012 Accepting new patients
Palmer & White Chiropractic LLC Chiropractor PastSince Aug 15, 2017 Accepting new patients

Locations

6388B Highway 431 S
Ste 3
Owens Cross Roads, AL 35763
Phone (256) 536-8400

1924 Old Berwick Rd
Bloomsburg, PA 17815
Phone (570) 784-2811

499 W Main St
Bloomsburg, PA 17815
Phone (570) 387-1450

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982638417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6388B HIGHWAY 431 S STE 3",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6388B HIGHWAY 431 S STE 3",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639298",
            "telephone_number": "256-536-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTZER",
        "first_name": "AMANDA",
        "middle_name": "CLARK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.