Organization Active NPI

Cruz Chiropractic, Inc.

  • Chiropractor
  • Burnsville, NC
National Provider Identifier
1053597526
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1254 Issued in NC
Legal business name
CRUZ CHIROPRACTIC, INC.
Practice address
390 E Main St
Burnsville, NC 28714
Phone
(828) 682-6157
NPI assigned
Jan 15, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Miguel A Cruz, DCNPI 1427107341
Title
Doctor of Chiropractic
Phone
(828) 682-6157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040909000194 NC Part B Supplier - Clinic/Group Practice 9335115443 Receives reassigned benefits from 1 practitioner
Practice locations: Burnsville, NC

National Provider Directory

Locations

390 E Main St
Burnsville, NC 28714
Phone (828) 682-6157

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1254 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

390 E Main St
Burnsville, NC 28714

Mailing address

390 E Main St
Burnsville, NC 28714-3019
Phone (828) 682-6157

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
08325OtherNCBCBSNC
7908325MedicaidNC
90016064OtherNCEIN NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2008.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1053597526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143019",
            "telephone_number": "828-682-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "28714",
            "telephone_number": "828-682-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "828-682-6157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "08325",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908325",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN NUMBER",
            "identifier": "90016064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.