Chad E Chisholm, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2063 Issued in NC

Practice address

605 Hillsborough St
Raleigh, NC 27603-1731

Phone

(919) 829-5757

Fax

(919) 829-5808

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Chisholm Chiropractic Center P aGroup PAC ID 0648313445, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chisholm Chiropractic Center P a

  • Medical Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1528398286
  Medicare reassignment Care Compare group NPD Authorized official
• Vardy Chiropractic and Wellness Clinics

  • Chiropractor
  • Wendell, NC
  • NPI 1366525149
  Medicare reassignment NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1124182019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031731",
            "telephone_number": "919-829-5757",
            "fax_number": "919-829-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031731",
            "telephone_number": "919-829-5757",
            "fax_number": "919-829-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "CHAD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890220V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Cafe, PLLC
• Chiropractic Fitness Centers PC
• Chiropractic Works, PLLC
• Chisholm Chiropractic Center
• Chisholm Chiropractic Center P a
• Allison Chisley, AFL PROVIDER
• Jackson Chunkit Chiu, M.D.
• Richard Allen Chiulli, MD
• Delia Fungshe Chiuten, M.D.
• Jessica Gay Chlebowski, CAA

• Chiropractor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.