Active NPI
Connie Eckman, D.C.
- Chiropractor
- Albemarle, NC
National Provider Identifier
1104850387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3058
- Practice address
- 1738 Badin Rd
Albemarle, NC 28001-5306 - Phone
- (704) 983-2177
- Fax
- (704) 983-2212
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3058 | NC | Primary |
Addresses
Primary practice location
1738 Badin Rd
Albemarle, NC 28001-5306
Mailing address
1738 Badin Rd
Albemarle, NC 28001-5306
Phone (704) 983-2177
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00228432 | Other | NC | RAILROAD MEDICARE |
| 085G3 | Other | NC | BLUE CROSS/BLUE SHIELD |
| 89085G3 | Medicaid | NC |
Other names 1
- Dr. Connie Desando
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1738 Badin Rd
Albemarle, NC 28001-5306
Phone (704) 983-2177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Health Solutions, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1738 Badin Rd
Albemarle, NC 28001
Phone (704) 983-2177
Organizations & group practices 2
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.
-
- Chiropractor
- Albemarle, NC
- NPI 1134715832
-
- Chiropractor
- Albemarle, NC
- NPI 1174557342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295654400000",
"number": "1104850387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 BADIN RD",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280015306",
"telephone_number": "704-983-2177",
"fax_number": "704-983-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1738 BADIN RD",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280015306",
"telephone_number": "704-983-2177",
"fax_number": "704-983-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKMAN",
"first_name": "CONNIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2011-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00228432",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "085G3",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085G3",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "DESANDO",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; 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.