Organization Active NPI

Main Street Chiropractic Center, PA

  • Chiropractor
  • Oak Island, NC
National Provider Identifier
1164670857
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAIN STREET CHIROPRACTIC CENTER, PA
Practice address
8505 E Oak Island Dr
Suite 1
Oak Island, NC 28465-8166
Phone
(910) 278-3513
Fax
(910) 278-3469
NPI assigned
Sep 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Dr. Eva-Marie Andersson-Skipper, DC
Title
President
Phone
(910) 278-3513

Specialties & licenses 1

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

Addresses

Primary practice location

8505 E Oak Island Dr
Suite 1
Oak Island, NC 28465-8166

Mailing address

PO Box 1046
Oak Island, NC 28465-9820
Phone (910) 278-3513

Other identifiers 1

IdentifierTypeStateIssuer
890845XMedicaidNC

Other names 1

  • Oak Island Chiropractic & Alternative Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1164670857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284659820",
            "telephone_number": "910-278-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 E OAK ISLAND DR",
            "address_2": "SUITE 1",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284658166",
            "telephone_number": "910-278-3513",
            "fax_number": "910-278-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSSON-SKIPPER",
        "authorized_official_first_name": "EVA-MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-278-3513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890845X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Island Chiropractic & Alternative Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Island, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.