Organization Active NPI

Swank Chiropractic Center, P.a.

  • Chiropractor
  • Cary, NC
National Provider Identifier
1053477190
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1751 Issued in NC
Legal business name
SWANK CHIROPRACTIC CENTER, P.A.
Practice address
3731 NW Cary Pkwy
Suite 101
Cary, NC 27513-8436
Phone
(919) 460-6098
Fax
(919) 460-6099
NPI assigned
Dec 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Timothy Allen Swank, D.C.
Title
Chiropractor
Phone
(919) 460-6098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1751 NC Primary

Addresses

Primary practice location

3731 NW Cary Pkwy
Suite 101
Cary, NC 27513-8436

Mailing address

3731 NW Cary Pkwy
Suite 101
Cary, NC 27513-8436
Phone (919) 460-6098

Other identifiers 1

IdentifierTypeStateIssuer
08532OtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202001104 NC Part B Supplier - Clinic/Group Practice 0648467654 Receives reassigned benefits from 2 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

3750 NW Cary Pkwy
Ste 105
Cary, NC 27513
Phone (919) 460-6098

Practitioners & affiliated clinicians

Practitioners 3

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": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1053477190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 NW CARY PKWY",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138436",
            "telephone_number": "919-460-6098",
            "fax_number": "919-460-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 NW CARY PKWY",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138436",
            "telephone_number": "919-460-6098",
            "fax_number": "919-460-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANK CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "SWANK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "919-460-6098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "08532",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.