Active NPI
Amy Christina Ewald, D.C.
- Chiropractor
- Southern Pines, NC
National Provider Identifier
1043461973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3885
- Practice address
- 361 N Bennett St
Southern Pines, NC 28387-4812 - Phone
- (910) 692-5207
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3885 | NC | Primary |
Addresses
Primary practice location
361 N Bennett St
Southern Pines, NC 28387-4812
Mailing address
214 Somerset Dr
Raeford, NC 28376-5420
Phone (651) 338-2582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3885 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Pines Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Southern Pines, NC
- NPI 1427154566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1043461973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 SOMERSET DR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283765420",
"telephone_number": "651-338-2582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 N BENNETT ST",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874812",
"telephone_number": "910-692-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWALD",
"first_name": "AMY",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.