Organization Active NPI

Garner Chiropractic & Wellness Center LLC

  • Chiropractor
  • Garner, NC
National Provider Identifier
1154388494
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2662 Issued in NC
Legal business name
GARNER CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
1428 Aversboro Rd Ste D
Garner, NC 27529-4587
Phone
(919) 779-2225
Fax
(919) 779-9569
NPI assigned
Apr 28, 2006
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Perry J Kirch, DCNPI 1801972492
Title
Owner
Phone
(919) 779-2225

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
Chiropractor 111N00000X 2662 NC Primary

Addresses

Primary practice location

1428 Aversboro Rd Ste D
Garner, NC 27529-4587

Mailing address

1428 Aversboro Rd Ste D
Garner, NC 27529-4587
Phone (919) 779-2225

Other identifiers 6

IdentifierTypeStateIssuer
890842RMedicaidNC
614113OtherAMERICAN CHIROPRACTIC NET
2210183OtherFIRST HEALTH
36621OtherPARTNERS HEALTH INS
0842ROtherNCBLUE CROSS BLUE SHIELD
2340035OtherNCAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050302001036 NC Part B Supplier - Clinic/Group Practice 7810940764 Receives reassigned benefits from 1 practitioner
Practice locations: Garner, NC

National Provider Directory

National Provider Directory

Locations

1428 Aversboro Rd
Ste D
Garner, NC 27529
Phone (919) 779-2225

205 Timber Dr
Garner, NC 27529
Phone (919) 779-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1154388494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 AVERSBORO RD STE D",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294587",
            "telephone_number": "919-779-2225",
            "fax_number": "919-779-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 AVERSBORO RD STE D",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294587",
            "telephone_number": "919-779-2225",
            "fax_number": "919-779-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "KIRCH",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-779-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890842R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIROPRACTIC NET",
            "identifier": "614113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2210183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS HEALTH INS",
            "identifier": "36621",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0842R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2340035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.

Verify at the official NPI Registry.