Gary P Dackor DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

695 Issued in NC

Legal business name

GARY P DACKOR DC INC

Practice address

1701 North Sandhills Blvd. Suite D
Aberdeen, NC 28315

Phone

(910) 944-7889

Fax

(910) 944-0899

NPI assigned

Sep 15, 2006

Organization subpart

No

Name

Dr. Gary Paul Dackor, DC

Title

President

Phone

(910) 944-7889

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harvey C Schultz Jr., D.C.

  • Chiropractor
  • Elizabethtown, NC
  • NPI 1184792210
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2011.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1154427318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NORTH SANDHILLS BLVD.",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "28315",
            "telephone_number": "910-944-7889",
            "fax_number": "910-944-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NORTH SANDHILLS BLVD. SUITE D",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "28315",
            "telephone_number": "910-944-7889",
            "fax_number": "910-944-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY P DACKOR DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "DACKOR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-944-7889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "08332",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908332",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Efren Garcia, NCPSS
• Christine Pirozzolo Gatti, D.D.S.
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• Rezell Gore, MSW, LCSW, LCAS, CCS
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• Amanda Kuhn Grimshaw, DSS

• All providers in Aberdeen, NC
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.