Individual provider Active NPI

Connie Eckman, D.C.

  • Chiropractor
  • Albemarle, NC
National Provider Identifier
1104850387
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3058 Issued in NC
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

Updated by the provider on Jan 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00228432OtherNCRAILROAD MEDICARE
085G3OtherNCBLUE CROSS/BLUE SHIELD
89085G3MedicaidNC

Other names 1

  • Dr. Connie Desando Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000820 NC Practitioner - Chiropractic 7911164223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Carolina Health Solutions PLLCGroup PAC ID 5698167377, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Carolina Health Solutions, PLLC Chiropractor CurrentSince Aug 14, 2022 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.

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.

Verify at the official NPI Registry.