Organization Active NPI

Hickory Chiropractic Clinic PLLC

  • Health Maintenance Organization
  • Hickory, NC
National Provider Identifier
1063701795
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
2000 Issued in NC
Legal business name
HICKORY CHIROPRACTIC CLINIC PLLC
Practice address
256 3Rd Ave NW
Hickory, NC 28601-4962
Phone
(828) 323-8998
Fax
(828) 322-8063
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Mrs. Sherri L Reid
Title
Office Manager
Phone
(828) 323-8998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 2000 NC Primary

Addresses

Primary practice location

256 3Rd Ave NW
Hickory, NC 28601-4962

Mailing address

256 3Rd Ave NW
Hickory, NC 28601-4962
Phone (828) 323-8998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110729000352 NC Part B Supplier - Clinic/Group Practice 1254509698 Receives reassigned benefits from 3 practitioners
Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Locations

256 3rd Ave NW
Ste A
Hickory, NC 28601
Phone (828) 323-8998

Practitioners & affiliated clinicians

Practitioners 4

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": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1063701795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014962",
            "telephone_number": "828-323-8998",
            "fax_number": "828-322-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014962",
            "telephone_number": "828-323-8998",
            "fax_number": "828-322-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-323-8998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.