Active NPI
Gorlesky Back & Neck Chiropractic, Inc
- Clinic/Center
- Wake Forest, NC
National Provider Identifier
1013086909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 1030
- Legal business name
- GORLESKY BACK & NECK CHIROPRACTIC, INC
- Practice address
- 301 S White St
Wake Forest, NC 27587-2916 - Phone
- (919) 556-1033
- Fax
- (919) 556-1034
- NPI assigned
- Nov 7, 2006
- 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. Jack Gorlesky, DC
- Title
- Owner
- Phone
- (919) 556-1033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 1030 | NC | Primary |
Addresses
Primary practice location
301 S White St
Wake Forest, NC 27587-2916
Mailing address
301 S White St
Wake Forest, NC 27587-2916
Phone (919) 556-1033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08452 | Other | NC | BLUE CROSS-BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
301 S White St
Wake Forest, NC 27587
Phone (919) 556-1033
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Wake Forest, NC
- NPI 1740670926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013086909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S WHITE ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872916",
"telephone_number": "919-556-1033",
"fax_number": "919-556-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S WHITE ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872916",
"telephone_number": "919-556-1033",
"fax_number": "919-556-1034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORLESKY BACK & NECK CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GORLESKY",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-556-1033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NC",
"license": "1030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE SHIELD",
"identifier": "08452",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, 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.