Healthsource of Decatur

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2423 Issued in AL

Legal business name

HEALTHSOURCE OF DECATUR

Practice address

2349 Danville Rd SW
Suite 210
Decatur, AL 35603-4284

Phone

(256) 822-1010

NPI assigned

Mar 29, 2016

Last updated

Aug 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Dean Mathias

Title

Managing Member

Phone

(256) 777-5955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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.

• Alex James Waldeck, D.C.

  • Chiropractor
  • Decatur, AL
  • NPI 1841622891
  Medicare reassignment NPD

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1992168827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 DANVILLE RD SW",
            "address_2": "SUITE 210",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034284",
            "telephone_number": "256-822-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 DANVILLE RD SW",
            "address_2": "SUITE 210",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034284",
            "telephone_number": "256-822-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF DECATUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "256-777-5955"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayes Eye Care LLC
• Rachel Leslie Haynes, COTA/L
• Healthcare Authority of Morgan County (Decatur General Hospital PEC)
• Healthcare Investment Group Inc. (First Response)
• Healthgroup of Alabama, LLC (Home Health Group - Decatur)
• Healthy Solutions Counseling and Consulting LLC
• Heart of the Valley Pediatrics PC
• Heaton Chiropractic Center
• Alan M. Heidt, CRNP
• Alexis Heidt

• Chiropractor in Decatur, AL
• Providers in Decatur, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.