Active NPI
Cruz Chiropractic, Inc.
- Chiropractor
- Burnsville, NC
National Provider Identifier
1053597526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1254
- 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, DC
- 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
-
Miguel Angel Cruz, D.C.
-
Lesia Elliott Cruz, PT & HC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1254 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08325 | Other | NC | BCBSNC |
| 7908325 | Medicaid | NC | |
| 90016064 | Other | NC | EIN 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.