Organization Active NPI

Oak City Chiropractic, PLLC

Doing business as Oak City Chiropractic

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1073026167
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OAK CITY CHIROPRACTIC, PLLC
Doing business as
Oak City Chiropractic
Practice address
875A Washington St
Raleigh, NC 27605-1255
Phone
(919) 213-0881
NPI assigned
Nov 10, 2017
Last updated
Nov 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Authorized official

Name
Dr. Jessica Fay, DCNPI 1881832889
Title
Owner/Chiropractic Physician
Phone
(919) 213-0881

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

875A Washington St
Raleigh, NC 27605-1255

Mailing address

875A Washington St
Raleigh, NC 27605-1255
Phone (919) 213-0881

Other names 1

  • Oak City Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180118001779 NC Part B Supplier - Clinic/Group Practice 8527327642 Receives reassigned benefits from 3 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

875 Washington St
#A
Raleigh, NC 27605
Phone (919) 213-0881

875 Washington St
Ste A
Raleigh, NC 27605
Phone (919) 213-0881

Practitioners & affiliated clinicians

Practitioners 3

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": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1073026167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875A WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051255",
            "telephone_number": "919-213-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875A WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051255",
            "telephone_number": "919-213-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CITY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "919-213-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak City Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.