Individual provider Active NPI

Paul Michael Hrvol III, DC

  • Chiropractor
  • Leland, NC
National Provider Identifier
1053881854
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4979 Issued in NC
Practice address
1175 Turlington Ave Unit 103
Leland, NC 28451-6068
Phone
(910) 408-1778
Fax
(910) 755-5402
NPI assigned
Dec 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4979 NC Primary

Addresses

Primary practice location

1175 Turlington Ave Unit 103
Leland, NC 28451-6068

Mailing address

728 Village Rd SW
Shallotte, NC 28470-3412
Phone (910) 755-5400

Other practice location 1

728 Village Rd SW
Shallotte, NC 28470-3412
Phone (910) 755-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204001897 NC Practitioner - Chiropractic 8426395195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina ChiropracticGroup PAC ID 5395780860, 7 clinicians

Practice addresses (Care Compare)

728 Village Rd
Shallotte, NC 28470-3412
Phone (910) 755-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Chiropractic Current Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Novant Health Brunswick Medical CenterBolivia, NC, CCN 340158 Hospital Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1053881854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 VILLAGE RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703412",
            "telephone_number": "910-755-5400",
            "fax_number": "910-755-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 TURLINGTON AVE UNIT 103",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516068",
            "telephone_number": "910-408-1778",
            "fax_number": "910-755-5402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Village Rd SW",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284703412",
            "country_code": "US",
            "telephone_number": "910-755-5400",
            "fax_number": "910-755-5402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HRVOL",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-05",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

Verify at the official NPI Registry.