Active NPI
Eden Chiropractic
- Specialist
- Eden, NC
National Provider Identifier
1003904442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 828
- Legal business name
- EDEN CHIROPRACTIC
- Practice address
- 405 Boone Rd
Eden, NC 27288-4967 - Phone
- (336) 627-7398
- Fax
- (336) 627-8421
- NPI assigned
- Oct 11, 2006
- Last updated
- Aug 22, 2020
- 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
- Robert M Vaughn, D.C.
- Title
- President
- Phone
- (336) 627-7398
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 828 | NC | Primary |
Addresses
Primary practice location
405 Boone Rd
Eden, NC 27288-4967
Mailing address
405 Boone Rd
Eden, NC 27288-4967
Phone (336) 627-7398
Other names 1
- Robert M. Vaughn, DC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Chiropractor
- Eden, NC
- NPI 1285690974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003904442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BOONE RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272884967",
"telephone_number": "336-627-7398",
"fax_number": "336-627-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BOONE RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272884967",
"telephone_number": "336-627-7398",
"fax_number": "336-627-8421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-627-7398",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert M. Vaughn, DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eden, NC
- Dr Roy C Turner Optometrist PA
- Drugs and Medical Supplies Inc
- Toni Mae Dunovant, PTA
- Javone Eaves, MBA, MS, LCMHCA, NCC
- Eckerd Corporation (Rite Aid Pharmacy 11339)
- Eden Drug Inc (Eden Drug Health Mart)
- Eden Drug, Inc.
- Eden Drug, Inc. (Eden Drug Health Mart)
- Eden Health & Wellness Center
- Eden Internal Medicine PLLC
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.