NPIMap

Organization Active NPI

Gary P Dackor DC Inc

  • Chiropractor
  • Aberdeen, NC
National Provider Identifier
1154427318
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. Gary Paul Dackor, DCNPI 1316900350
Title
President
Phone
(910) 944-7889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 695 NC Primary

Addresses

Primary practice location

1701 North Sandhills Blvd. Suite D
Aberdeen, NC 28315

Mailing address

1701 North Sandhills Blvd.
Aberdeen, NC 28315
Phone (910) 944-7889

National Provider Directory

National Provider Directory

Locations

1701 N Sandhills Blvd
Aberdeen, NC 28315

1701 N Sandhills Blvd
#D
Aberdeen, NC 28315
Phone (910) 944-7889

Practitioners & affiliated clinicians

Practitioners 2

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

  • 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.