Active NPI
Tim Dennis Treanor, DC
- Chiropractor
- Rocky Mount, NC
National Provider Identifier
1154362952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NC2457
- Practice address
- 4161 Capital Drive
Rocky Mount, NC 27804-3128 - Phone
- (252) 903-3103
- Fax
- (252) 210-3489
- NPI assigned
- Jun 10, 2006
- Last updated
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- No
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 | NC2457 | NC | Primary |
Addresses
Primary practice location
4161 Capital Drive
Rocky Mount, NC 27804-3128
Mailing address
4161 Capital Drive
Rocky Mount, NC 27804-3128
Phone (252) 903-3103
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154362952 | Medicaid | NC | |
| 0828Y | Other | NC | BCBS |
| 1154362952 | Other | NC | CNC/MC/MD |
| 890828Y | 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 |
|---|---|---|---|
| NC2457 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Medical | Current | Accepting new patients | |
| Edgecombe Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Hammer Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
4161 Capital Dr
Rocky Mount, NC 27804
Phone (252) 210-3490
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Rocky Mount, NC
- NPI 1093596561
-
dba Hammer Chiropractic Edgecombe
- Chiropractor
- Rocky Mount, NC
- NPI 1023189065
-
- Chiropractor
- Rocky Mount, NC
- NPI 1649348764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1154362952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 CAPITAL DRIVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043128",
"telephone_number": "252-903-3103",
"fax_number": "252-210-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 CAPITAL DRIVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043128",
"telephone_number": "252-903-3103",
"fax_number": "252-210-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREANOR",
"first_name": "TIM",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "NC2457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154362952",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0828Y",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNC/MC/MD",
"identifier": "1154362952",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890828Y",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
- Adriana Michelle Torres Vazquez, MD
- Total Renal Care of North Carolina, LLC (Nash County Dialysis)
- Sen Dy Tran, PHARMD
- Transcendia Health Systems (Transcendia Health Services)
- Treanor Chiropractic Inc (Treanor Chiropractic Wellness Center)
- Charnell Lee Trembeczki, FNP
- TRG Health Care Systems LLC (OneCare Behavioral Health System)
- Tri-County Industries, Inc.
- Trident USA Foot Care Services LLC
- Trinity Comprehensive Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.