NPI Code Detail JSON Logo

1487315693 NPI number — ELDRIGE JAMES CONLEY DC

NPI Number: 1487315693
Health Care Provider/Practitioner: ELDRIGE JAMES CONLEY DC

Information about “1487315693” NPI (ELDRIGE JAMES CONLEY DC) exists in 1487315693 in HTML format HTML  |  1487315693 in plain Text format TXT  |  1487315693 in PDF (Portable Document Format) PDF  |  1487315693 in an XML format XML  formats.

NPI Number : 1487315693 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487315693",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONLEY",
    "FirstName": "ELDRIGE",
    "MiddleName": "JAMES",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CONLEY",
    "OtherFirstName": "EJ",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "830 US HIGHWAY 98 APT 236",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAPHNE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36526-5805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-797-1756",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "28190 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAPHNE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36526-7073",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "251-621-0700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/10/2022",
    "LastUpdateDate": "08/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111NS0005X",
          "TaxonomyName": "Sports Physician Chiropractor",
          "LicenseNumber": "6710",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "2721",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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