Organization Active NPI

Advance Wellness Chiropractic

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1093884140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2903 Issued in NC
Legal business name
ADVANCE WELLNESS CHIROPRACTIC
Practice address
604 Pasteur Dr Ste B
Greensboro, NC 27403-1145
Phone
(336) 316-0827
Fax
(336) 316-0828
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Collins Draper IIINPI 1164455044
Title
Chiropractic Physician
Phone
(336) 316-0827

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 2903 NC Primary

Addresses

Primary practice location

604 Pasteur Dr Ste B
Greensboro, NC 27403-1145

Mailing address

604 Pasteur Dr Ste B
Greensboro, NC 27403-1145
Phone (336) 316-0827

National Provider Directory

National Provider Directory

Locations

604 Pasteur Dr
Ste B
Greensboro, NC 27403
Phone (336) 316-0827

Practitioners & affiliated clinicians

Practitioners 1

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093884140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 PASTEUR DR STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031145",
            "telephone_number": "336-316-0827",
            "fax_number": "336-316-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 PASTEUR DR STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031145",
            "telephone_number": "336-316-0827",
            "fax_number": "336-316-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "336-316-0827",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.