NPIMap

Organization Active NPI

Graybar Chiropractic, Inc.

  • Chiropractor
  • Wallace, NC
National Provider Identifier
1073609665
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRAYBAR CHIROPRACTIC, INC.
Practice address
116 N Norwood St
Wallace, NC 28466-2730
Phone
(910) 285-7222
Fax
(910) 285-7229
NPI assigned
Oct 4, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Crystal Ward
Title
Office Manager
Phone
(910) 285-7222

Specialties & licenses 1

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

Addresses

Primary practice location

116 N Norwood St
Wallace, NC 28466-2730

Mailing address

116 N Norwood St
Wallace, NC 28466-2730
Phone (910) 285-7222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060124000604 NC Part B Supplier - Clinic/Group Practice 5294759619 Receives reassigned benefits from 9 practitioners
Practice locations: Wallace, NC; Wilmington, NC

National Provider Directory

National Provider Directory
Tax ID family
Graybar Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1073609665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N NORWOOD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662730",
            "telephone_number": "910-285-7222",
            "fax_number": "910-285-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N NORWOOD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662730",
            "telephone_number": "910-285-7222",
            "fax_number": "910-285-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYBAR CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-285-7222"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallace, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.