Organization Active NPI

Yadkinville Chiropractic DC PA

  • Chiropractor
  • Yadkinville, NC
National Provider Identifier
1013076785
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2864 Issued in NC
Legal business name
YADKINVILLE CHIROPRACTIC DC PA
Practice address
204 N State St
Yadkinville, NC 27055
Phone
(336) 679-8500
Fax
(336) 677-8536
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Leslie L Horne, DC
Title
Owner Provider President
Phone
(336) 679-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2864 NC Primary

Addresses

Primary practice location

204 N State St
Yadkinville, NC 27055

Mailing address

PO Box 754
Yadkinville, NC 27055
Phone (336) 679-8500

Other identifiers 1

IdentifierTypeStateIssuer
89085C4MedicaidNC

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1013076785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "27055",
            "telephone_number": "336-679-8500",
            "fax_number": "336-677-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N STATE ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "27055",
            "telephone_number": "336-679-8500",
            "fax_number": "336-677-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADKINVILLE CHIROPRACTIC DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PROVIDER PRESIDENT",
        "authorized_official_telephone_number": "336-679-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085C4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.