Organization Active NPI

Gregory Chiropractic Center PA

  • Sports Physician Chiropractor
  • Belmont, NC
National Provider Identifier
1093892077
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2333 Issued in NC
Legal business name
GREGORY CHIROPRACTIC CENTER PA
Practice address
611 N Central Ave
Belmont, NC 28012-3151
Phone
(704) 829-9200
Fax
(704) 829-5700
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Matthew Gregory
Title
President
Phone
(704) 829-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 2333 NC Primary

Addresses

Primary practice location

611 N Central Ave
Belmont, NC 28012-3151

Mailing address

611 N Central Ave
Belmont, NC 28012-3151
Phone (704) 829-9200

Other identifiers 1

IdentifierTypeStateIssuer
890826XMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1093892077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N CENTRAL AVE",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123151",
            "telephone_number": "704-829-9200",
            "fax_number": "704-829-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N CENTRAL AVE",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123151",
            "telephone_number": "704-829-9200",
            "fax_number": "704-829-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-829-9200"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890826X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.