Active NPI
Duncan Chiropractic P.a.
- Chiropractor
- Cornelius, NC
National Provider Identifier
1093927790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2575
- Legal business name
- DUNCAN CHIROPRACTIC P.A.
- Practice address
- 19824 W Catawba Ave
Suite E
Cornelius, NC 28031-4046 - Phone
- (704) 987-5050
- Fax
- (704) 987-5067
- NPI assigned
- May 4, 2007
- 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
- Dr. Thomas Raymond Duncan Jr., D.C.
- Title
- President
- Phone
- (704) 987-5050
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 | 2575 | NC | Primary |
Addresses
Primary practice location
19824 W Catawba Ave
Suite E
Cornelius, NC 28031-4046
Mailing address
19824 W Catawba Ave
Suite E
Cornelius, NC 28031-4046
Phone (704) 987-5050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890834F | Medicaid | NC | |
| 0834F | Other | NC | BCBS ID FOR TOM DUNCAN |
| 2575 | Other | NC | STATE ID TOM DUNCAN D.C. |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cornelius, NC
- NPI 1902918014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093927790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19824 W CATAWBA AVE",
"address_2": "SUITE E",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314046",
"telephone_number": "704-987-5050",
"fax_number": "704-987-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19824 W CATAWBA AVE",
"address_2": "SUITE E",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314046",
"telephone_number": "704-987-5050",
"fax_number": "704-987-5067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNCAN CHIROPRACTIC P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-987-5050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "2575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890834F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID FOR TOM DUNCAN",
"identifier": "0834F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID TOM DUNCAN D.C.",
"identifier": "2575",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, 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.