Chiropractic Rehabilitation Accident and Injury Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2463 Issued in NC

Legal business name

CHIROPRACTIC REHABILITATION ACCIDENT AND INJURY CENTER, PLLC

Practice address

228B Morganton Blvd SW
Lenoir, NC 28645-5219

Phone

(828) 754-8181

Fax

(828) 754-8140

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Scanlan Sack, D.C.NPI 1508862251

Title

Owner

Phone

(828) 754-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mark Sack DC, PLLC Former legal business name

Locations

Practitioners 1

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

• Mark Scanlan Sack, D.C.

  • Chiropractor
  • Lenoir, NC
  • NPI 1508862251
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1063587657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228B MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455219",
            "telephone_number": "828-754-8181",
            "fax_number": "828-754-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228B MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455219",
            "telephone_number": "828-754-8181",
            "fax_number": "828-754-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHABILITATION ACCIDENT AND INJURY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SCANLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-754-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890828Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Sack DC, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.