Individual provider Active NPI

Robert Christopher Eyerly, DC

  • Chiropractor
  • Durham, NC
National Provider Identifier
1114526837
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5227 Issued in NC
Practice address
5310 NC Highway 55 Ste 102
Durham, NC 27713-7813
Phone
(919) 544-4663
Fax
(919) 544-6427
NPI assigned
Oct 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5227 NC Primary

Addresses

Primary practice location

5310 NC Highway 55 Ste 102
Durham, NC 27713-7813

Mailing address

5310 NC Highway 55 Ste 102
Durham, NC 27713-7813
Phone (919) 544-4663

Other practice location 1

1125 Kildaire Farm Rd Ste 101
Cary, NC 27511-4566
Phone (919) 535-3850

Other identifiers 1

IdentifierTypeStateIssuer
5227OtherNCDC STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028000992 NC Practitioner - Chiropractic 9830509199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Chiropractic PCGroup PAC ID 6305987322, 4 clinicians

Practice addresses (Care Compare)

5107 NC Hwy 55
Suite 103
Durham, NC 27713-9685
Phone (919) 544-4663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5227NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Chiropractic PC Chiropractor CurrentSince Oct 23, 2020 Accepting new patients

Locations

1125 Kildaire Farm Rd
Ste 101
Cary, NC 27511
Phone (919) 467-7797

210 New Edition Ct
Cary, NC 27511
Phone (919) 535-3850

5107 NC Highway 55
Ste 103
Durham, NC 27713
Phone (919) 544-4663

5310 NC Highway 55
Ste 102
Durham, NC 27713
Phone (919) 225-0107

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1114526837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 NC HIGHWAY 55 STE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137813",
            "telephone_number": "919-544-4663",
            "fax_number": "919-544-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 NC HIGHWAY 55 STE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137813",
            "telephone_number": "919-544-4663",
            "fax_number": "919-544-6427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Kildaire Farm Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275114566",
            "country_code": "US",
            "telephone_number": "919-535-3850",
            "fax_number": "919-544-6427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYERLY",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC STATE LICENSE",
            "identifier": "5227",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.