Organization Active NPI

Adio Chiropractic

Doing business as Back on Track chiropractic

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1992032320
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1895 Issued in AL
Legal business name
ADIO CHIROPRACTIC
Doing business as
Back on Track chiropractic
Practice address
1901 6TH Ave N
Suite 260
Birmingham, AL 35203-2618
Phone
(205) 322-9005
Fax
(205) 322-9039
NPI assigned
Nov 5, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Dr. Kristoffer Johnson, DCNPI 1437296506
Title
Chiropractor
Phone
(205) 322-9005

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 1895 AL Primary

Addresses

Primary practice location

1901 6TH Ave N
Suite 260
Birmingham, AL 35203-2618

Mailing address

1901 6TH Ave N
Suite 260
Birmingham, AL 35203-2618
Phone (205) 322-9005

Other names 1

  • Back on Track chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100119000279 AL Part B Supplier - Clinic/Group Practice 3971645672 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

1901 6th Ave N
Ste 260
Birmingham, AL 35203
Phone (205) 322-9005

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1992032320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 6TH AVE N",
            "address_2": "SUITE 260",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352032618",
            "telephone_number": "205-322-9005",
            "fax_number": "205-322-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 6TH AVE N",
            "address_2": "SUITE 260",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352032618",
            "telephone_number": "205-322-9005",
            "fax_number": "205-322-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTOFFER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "205-322-9005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back on Track chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.