Organization Active NPI

Midtown Chiropractic Clinic PLLC

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1073303962
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MIDTOWN CHIROPRACTIC CLINIC PLLC
Practice address
1705 Pacific Dr
Raleigh, NC 27609-8106
Phone
(919) 873-2225
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Brian Spencer Eaton, DCNPI 1659468015
Title
Member/Chiropractor
Phone
(702) 677-7140

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 Primary

Addresses

Primary practice location

1705 Pacific Dr
Raleigh, NC 27609-8106

Mailing address

1705 Pacific Dr
Raleigh, NC 27609-8106
Phone (919) 873-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250617003374 NC Part B Supplier - Clinic/Group Practice 1456862333 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1073303962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 PACIFIC DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098106",
            "telephone_number": "919-873-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 PACIFIC DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098106",
            "telephone_number": "919-873-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "MEMBER/CHIROPRACTOR",
        "authorized_official_telephone_number": "702-677-7140",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 12, 2025; 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.