Organization Active NPI

Creedmoor Chiropractic

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1114189297
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2720 Issued in NC
Legal business name
CREEDMOOR CHIROPRACTIC
Practice address
7501 Creedmoor Rd
Suite 112
Raleigh, NC 27613-1680
Phone
(919) 846-7246
Fax
(919) 846-8440
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Robert R Ronchetti, D.C.NPI 1881615748
Title
Owner
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 2720 NC Primary

Addresses

Primary practice location

7501 Creedmoor Rd
Suite 112
Raleigh, NC 27613-1680

Mailing address

7501 Creedmoor Rd
Suite 112
Raleigh, NC 27613-1680
Phone (919) 846-7246

Other identifiers 1

IdentifierTypeStateIssuer
890842CMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1114189297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 CREEDMOOR RD",
            "address_2": "SUITE 112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131680",
            "telephone_number": "919-846-7246",
            "fax_number": "919-846-8440"
        },
        {
            "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": "276131680",
            "telephone_number": "919-846-7246",
            "fax_number": "919-846-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDMOOR CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "RONCHETTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "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": "2720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890842C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 26, 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.

Verify at the official NPI Registry.