Active NPI
Camel City Chiropractic PLLC
- Chiropractor
- Winston Salem, NC
National Provider Identifier
1114707577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CAMEL CITY CHIROPRACTIC PLLC
- Practice address
- 4622 Country Club Rd Ste 140
Winston Salem, NC 27104-3770 - Phone
- (336) 768-7227
- Fax
- (336) 768-3802
- NPI assigned
- Oct 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin M Sharp, DC
- Title
- Owner/Manager
- Phone
- (336) 768-7227
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
4622 Country Club Rd Ste 140
Winston Salem, NC 27104-3770
Mailing address
4622 Country Club Rd Ste 140
Winston Salem, NC 27104-3770
Phone (336) 768-7227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Winston-Salem, NC
- NPI 1568458057
-
- Chiropractor
- Winston Salem, NC
- NPI 1295260370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696291200000",
"number": "1114707577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 COUNTRY CLUB RD STE 140",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043770",
"telephone_number": "336-768-7227",
"fax_number": "336-768-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4622 COUNTRY CLUB RD STE 140",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043770",
"telephone_number": "336-768-7227",
"fax_number": "336-768-3802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMEL CITY CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A",
"authorized_official_last_name": "SHARP",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "336-768-7227",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.