Organization Active NPI

Bolton Enterprises I PLLC

Doing business as First Choice Chiropractic Clinic

  • Chiropractor
  • Wilson, NC
National Provider Identifier
1063734622
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3974 Issued in NC
Legal business name
BOLTON ENTERPRISES I PLLC
Doing business as
First Choice Chiropractic Clinic
Practice address
1704 Medical Park Dr NW
Wilson, NC 27893-6942
Phone
(252) 244-7648
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. James Bolton, DCNPI 1790017564
Title
President
Phone
(563) 505-6464

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3974 NC Primary

Addresses

Primary practice location

1704 Medical Park Dr NW
Wilson, NC 27893-6942

Mailing address

PO Box 9060
Wilson, NC 27895-9060
Phone (563) 505-6464

Other names 1

  • First Choice Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125000120 NC Part B Supplier - Clinic/Group Practice 3577742451 Receives reassigned benefits from 1 practitioner
Practice locations: Wilson, NC

National Provider Directory

National Provider Directory

Locations

2801 Ward Blvd
Ste 7A
Wilson, NC 27893
Phone (252) 315-8488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1063734622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9060",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278959060",
            "telephone_number": "563-505-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MEDICAL PARK DR NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278936942",
            "telephone_number": "252-244-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLTON ENTERPRISES I PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-505-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.