Active NPI
Payne Chiropractic Center PA
- Chiropractor
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1997
- Legal business name
- PAYNE CHIROPRACTIC CENTER PA
- Practice address
- 215 W Broad St
Statesville, NC 28677-5259 - Phone
- (704) 838-0990
- Fax
- (704) 838-0678
- NPI assigned
- May 11, 2006
- Last updated
- Dec 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey E Payne, DC
- Title
- Owner/President
- Phone
- (704) 838-0990
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1997 | NC | Primary |
Addresses
Primary practice location
215 W Broad St
Statesville, NC 28677-5259
Mailing address
215 W Broad St
Statesville, NC 28677-5259
Phone (704) 838-0990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890165L | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
126 S Tradd St
Statesville, NC 28677
Phone (704) 838-0990
215 W Broad St
Statesville, NC 28677
Phone (704) 838-0990
215 W Broad St
Ste A
Statesville, NC 28677
Phone (704) 838-0990
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.
-
- Chiropractor
- Statesville, NC
- NPI 1699726679
-
- Chiropractor
- Winston Salem, NC
- NPI 1801949326
-
- Chiropractor
- Charlotte, NC
- NPI 1194711804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417564800000",
"number": "1093765984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W BROAD ST",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286775259",
"telephone_number": "704-838-0990",
"fax_number": "704-838-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BROAD ST",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286775259",
"telephone_number": "704-838-0990",
"fax_number": "704-838-0678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAYNE CHIROPRACTIC CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2014-12-03",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "704-838-0990",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890165L",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.