Dr. Anthony Shane Black, DC
Chiropractor in Dothan, AL. Individual provider (NPI-1).
NPI number1497724645
StatusActive
Last updated in NPPESSep 9, 2013
Details
- NPI
- 1497724645
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anthony Shane Black
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2006
- Last updated
- Sep 9, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1638 | AL | Yes |
Practice location
1491 Hartford HwyDothan, AL 36301-3349
Phone 334-673-1488 · Fax 334-673-8798
Mailing address
Po Box 6853Dothan, AL 36302-6853
Phone 334-673-1488 · Fax 334-673-8798
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 39 Chiropractor providers in Dothan · All 2,864 providers in Dothan
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