NPIMap

Organization Active NPI

Garry Nelson DC PC

Doing business as Nelson & Nelson Chiropractic

  • Chiropractor
  • Sanford, NC
National Provider Identifier
1164538047
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GARRY NELSON DC PC
Doing business as
Nelson & Nelson Chiropractic
Practice address
1660 S. Horner Blvd
Sanford, NC 27330-5634
Phone
(919) 777-9999
Fax
(919) 777-9998
NPI assigned
Aug 22, 2006
Last updated
Sep 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Dr. Garry Nelson, DCNPI 1245344373
Title
President
Phone
(910) 964-2070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2115 NC
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1660 S. Horner Blvd
Sanford, NC 27330-5634

Mailing address

1660 S. Horner Blvd
Sanford, NC 27330-5634
Phone (919) 777-9999

Other names 1

  • Nelson & Nelson Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121127000235 NC Part B Supplier - Clinic/Group Practice 2264683101 Practice locations: Sanford, NC

National Provider Directory

National Provider Directory

Locations

1660 S Horner Blvd
Sanford, NC 27330
Phone (910) 777-9999

Practitioners & affiliated clinicians

Practitioners 3

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1164538047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S. HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305634",
            "telephone_number": "919-777-9999",
            "fax_number": "919-777-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S. HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305634",
            "telephone_number": "919-777-9999",
            "fax_number": "919-777-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY NELSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-964-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2115",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson & Nelson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.