Organization Active NPI

Health Alliance Enterprises

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1104265883
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4346 Issued in NC
Legal business name
HEALTH ALLIANCE ENTERPRISES
Practice address
7501 Creedmoor Rd
Suite 112
Raleigh, NC 27613-1677
Phone
(919) 846-7246
Fax
(888) 633-8962
NPI assigned
Jun 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Azael Borromeo, D.C.NPI 1104966159
Title
Director
Phone
(919) 846-7246

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4346 NC Primary

Addresses

Primary practice location

7501 Creedmoor Rd
Suite 112
Raleigh, NC 27613-1677

Mailing address

PO Box 4795
Cary, NC 27519-4795
Phone (919) 846-7246

Other names 1

  • Creedmoor Chiropractic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140122000628 NC Part B Supplier - Clinic/Group Practice 5799913612 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

7501 Creedmoor Rd
Ste 112
Raleigh, NC 27613
Phone (919) 846-7246

8009 Creedmoor Rd
Ste 202
Raleigh, NC 27613
Phone (919) 846-7246

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1104265883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4795",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275194795",
            "telephone_number": "919-846-7246",
            "fax_number": "888-633-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 CREEDMOOR RD",
            "address_2": "SUITE 112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131677",
            "telephone_number": "919-846-7246",
            "fax_number": "888-633-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ALLIANCE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "BORROMEO",
        "authorized_official_first_name": "AZAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-846-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creedmoor Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.