Edgecombe Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2354 Issued in NC

Legal business name

EDGECOMBE CHIROPRACTIC INC

Doing business as

Hammer Chiropractic Edgecombe

Practice address

224 N Fairviews Road
Rocky Mount, NC 27801

Phone

(252) 446-7246

Fax

(252) 446-5407

NPI assigned

Nov 13, 2006

Last updated

Aug 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Traci D Clark, DCNPI 1073548996

Title

Chiropractor

Phone

(252) 446-7246

Specialties & licenses 1

Addresses

Other names 1

• Hammer Chiropractic Edgecombe Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Edgecombe Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Edgecombe Chiropractic Inc

  dba Hammer Chiropractic Tarboro

  • Chiropractor
  • Tarboro, NC
  • NPI 1407976590
  NPD tax ID

Locations

Practitioners 4

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.

• Traci D Clark, DC

  • Chiropractor
  • Rocky Mount, NC
  • NPI 1073548996
  Medicare reassignment NPD Authorized official
• Steven Alan Clark, DC

  • Chiropractor
  • Rocky Mount, NC
  • NPI 1124036058
  Medicare reassignment NPD
• John Paul Hammer, DC

  • Chiropractor
  • Rocky Mount, NC
  • NPI 1790701720
  NPD (past)
• Tim Dennis Treanor, DC

  • Chiropractor
  • Rocky Mount, NC
  • NPI 1154362952
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1023189065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7353",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-446-7246",
            "fax_number": "252-446-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N FAIRVIEWS ROAD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27801",
            "telephone_number": "252-446-7246",
            "fax_number": "252-446-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGECOMBE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "252-446-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammer Chiropractic Edgecombe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eckerd Corporation (Rite Aid Pharmacy 11412)
• David William Eckert, MD
• Edc Drug Stores (Rite Aid Pharmacy 11410)
• Edc Drug Stores (Rite Aid Pharmacy 11413)
• Edc Drug Stores Inc (Rite Aid Pharmacy 11411)
• Edgecombe Drug Inc (Almand's Drug Store)
• Edgecombe-Nash Mental Health Clinic Beacon Center
• Jenny Edgell
• Beth A Edgerton, PA
• Sophia Battle Edmonds, MSW, LCAS, LCSWA

• Chiropractor in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.