MISSION SQUARE CHIROPRACTIC CLINIC (NPI# 1700151255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700151255 |
| Entity Type | Organization |
| Organization Name | MISSION SQUARE CHIROPRACTIC CLINIC |
| Practice Address |
49 Mitchell Dr Montgomery AL 36109-2923 |
| Mailing Address |
Po Box 20572 Montgomery AL 36120-0572 |
| Practice Telephone | 8007640911 |
| Practice Fax Number | 8007648611 |
| Mailing Telephone | 8007640911 |
| Mailing Fax Number | 8007648611 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |
| Authorized Official Name | MR. ALAN JEROME TRENT SR. (OWNER) |
| Authorized Official Telephone | 3346760166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
49 MITCHELL DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36109-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
| 1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
| Find all providers in zip 36109 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841820438 | Aj Marshall Wellness, LLC | Chiropractor | 17099 Walden Rd Ste 100, Montgomery, TX 77356-3249 | 2020-01-22 |
| 1780169235 | Michael Kent Garner | Chiropractor | 11374 Grand Pine Dr, Montgomery, TX 77356-2404 | 2018-10-01 |
| 1811490949 | Gregory Crocker | Chiropractor | 125 Blue Herron Dr Suite B, Montgomery, TX 77316 | 2018-03-15 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| 1164888194 | Jessica Torres | Chiropractor | 212 Webster St, Montgomery, IL 60538-1324 | 2016-01-06 |
| 1861815342 | Reese Ochoa | Chiropractor | 125 Blue Heron Dr Ste B, Montgomery, TX 77316 | 2014-02-04 |
| 1821425158 | Sally Braids Lucce | Chiropractor | 153 Ward St, Montgomery, NY 12549-1112 | 2013-10-01 |
| 1225464977 | Robin Kathleen Rivers | Chiropractor | 418 Trace Way Dr, Montgomery, TX 77316-6852 | 2013-09-25 |
| 1699034090 | Montgomery Neck and Back Pain Center | Chiropractor | 4171 Lomac St, Suite A, Montgomery, AL 36106-2945 | 2012-05-07 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36109 |
Please comment or provide details below to improve the information on MISSION SQUARE CHIROPRACTIC CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.