NPIMap

Organization Active NPI

Elk River Chiropractic Clinic, P.a., P.C.

  • Chiropractor
  • Rogersville, AL
National Provider Identifier
1982810180
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1819 Issued in AL
Legal business name
ELK RIVER CHIROPRACTIC CLINIC, P.A., P.C.
Practice address
17493 Highway 72
Rogersville, AL 35652-8109
Phone
(256) 247-7702
Fax
(256) 247-7749
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. Larry Thomas Martin, D.C.
Title
Dr.
Phone
(256) 247-7702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1819 AL Primary

Addresses

Primary practice location

17493 Highway 72
Rogersville, AL 35652-8109

Mailing address

17493 Highway 72
Rogersville, AL 35652-8109
Phone (256) 247-7702

National Provider Directory

National Provider Directory

Locations

17493 Highway 72
Rogersville, AL 35652
Phone (256) 247-7702

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1982810180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17493 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528109",
            "telephone_number": "256-247-7702",
            "fax_number": "256-247-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17493 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528109",
            "telephone_number": "256-247-7702",
            "fax_number": "256-247-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RIVER CHIROPRACTIC CLINIC, P.A., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "256-247-7702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.