Active NPI
Robert William Twaddell, D.C.
- Chiropractor
- Fayetteville, NC
National Provider Identifier
1114006533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2347
- Practice address
- 1248 Fort Bragg Rd
Fayetteville, NC 28305-4981 - Phone
- (910) 486-9500
- NPI assigned
- Nov 5, 2006
- Sex
- Male
- 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 | 2347 | NC | Primary |
Addresses
Primary practice location
1248 Fort Bragg Rd
Fayetteville, NC 28305-4981
Mailing address
PO Box 53703
Fayetteville, NC 28305-3703
Phone (910) 485-1541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890820R | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2347 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1114006533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53703",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283053703",
"telephone_number": "910-485-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 FORT BRAGG RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283054981",
"telephone_number": "910-486-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWADDELL",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-05",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890820R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.