High Tide Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HIGH TIDE CHIROPRACTIC PLLC

Practice address

2155 Britton Rd # 110
Leland, NC 28451-1929

Phone

(910) 408-1747

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Levi Bradburn, DCNPI 1306185467

Title

Owner

Phone

(910) 408-1747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Levi Bradburn, D.C.

  • Chiropractor
  • Leland, NC
  • NPI 1306185467
  Medicare reassignment NPD Authorized official
• Sarah Celeste Hamner, RD, LDN

  • Registered Dietitian
  • Leland, NC
  • NPI 1023717360

  Single Specialty

  NPD
• Kaitlyn Seguin, MS, RD

  • Registered Dietitian
  • Leland, NC
  • NPI 1134871718
  NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1093301319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 BRITTON RD # 110",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511929",
            "telephone_number": "910-408-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 BRITTON RD # 110",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511929",
            "telephone_number": "910-408-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH TIDE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BRADBURN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-408-1747",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Healthsource of Leland, PLLC
• Healthy Back, Inc.
• Sara Beth Henderson, PTA
• Amanda B Hendrix, O.D.
• Jenna Hester, PA-C
• Allison Sandra Hindt, PA-C
• Connie Deann Hinnant, FNP
• Scott Robert Hitter, PA
• Clinton Tyler Hobbs, AGPCNP-C
• Eileen R Hodges, LCSW

• Chiropractor in Leland, NC
• Providers in Leland, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.