Active NPI
Central Carolina Chiropractic Clinic, Inc
- Neurology Chiropractor
- Asheboro, NC
National Provider Identifier
1003029463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 1478
- Legal business name
- CENTRAL CAROLINA CHIROPRACTIC CLINIC, INC
- Practice address
- 103 W Wainman Ave
Asheboro, NC 27203-5623 - Phone
- (336) 629-7246
- Fax
- (336) 629-1984
- NPI assigned
- May 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danny Lee Tyndall, D.C.
- Title
- President
- Phone
- (336) 629-7246
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 1478 | NC | Primary |
Addresses
Primary practice location
103 W Wainman Ave
Asheboro, NC 27203-5623
Mailing address
103 W Wainman Ave
Asheboro, NC 27203-5623
Phone (336) 629-7246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908881 | Medicaid | NC | |
| 08881 | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
103 W Wainman Ave
Asheboro, NC 27203
Phone (336) 629-7246
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Chiropractor
- Asheboro, NC
- NPI 1508079963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003029463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W WAINMAN AVE",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035623",
"telephone_number": "336-629-7246",
"fax_number": "336-629-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W WAINMAN AVE",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035623",
"telephone_number": "336-629-7246",
"fax_number": "336-629-1984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CAROLINA CHIROPRACTIC CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TYNDALL",
"authorized_official_first_name": "DANNY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-629-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": "NC",
"license": "1478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908881",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08881",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.