Organization Active NPI

Eden Chiropractic

  • Specialist
  • Eden, NC
National Provider Identifier
1003904442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
828 Issued in NC
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert M Vaughn, D.C.NPI 1285690974
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.