Individual provider Active NPI

Christopher R. Outten, D.C.

  • Chiropractor
  • Cary, NC
National Provider Identifier
1104802057
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2287 Issued in NC
Practice address
401 High House Rd
Suite 110
Cary, NC 27513-7200
Phone
(919) 467-3362
Fax
(919) 467-3233
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2287 NC Primary

Addresses

Primary practice location

401 High House Rd
Suite 110
Cary, NC 27513-7200

Mailing address

401 High House Rd
Suite 110
Cary, NC 27513-7200
Phone (919) 467-3362

Other identifiers 1

IdentifierTypeStateIssuer
8908642MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000121 NC Practitioner - Chiropractic 6406879246 Reassigns benefits to 1 organization
Practice locations: Cary, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Outten Chiropractic PAGroup PAC ID 7416324397, 2 clinicians

Practice addresses (Care Compare)

401 High House Rd
Cary, NC 27513-7201
Phone (919) 467-3362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2287NCMDAcupuncturist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1104802057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIGH HOUSE RD",
            "address_2": "SUITE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275137200",
            "telephone_number": "919-467-3362",
            "fax_number": "919-467-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGH HOUSE RD",
            "address_2": "SUITE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275137200",
            "telephone_number": "919-467-3362",
            "fax_number": "919-467-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTTEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908642",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.