Legacy Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4339 Issued in NC

Legal business name

LEGACY CHIROPRACTIC P.C.

Practice address

737 Branniff Dr
Cary, NC 27513-4109

Phone

(515) 509-1792

NPI assigned

May 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John Frederick Ballam, D.C.NPI 1164761581

Title

Owner

Phone

(515) 509-1792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• John Frederick Ballam, D.C.

  • Chiropractor
  • Cary, NC
  • NPI 1164761581
  Medicare reassignment NPD Authorized official
• Adam L Schnebelt, DC

  • Chiropractor
  • Cary, NC
  • NPI 1063001147
  Medicare reassignment
• Sandra Maria Labella, PT, DPT

  • Physical Therapist
  • Apex, NC
  • NPI 1568418390
  NPD

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368835200000",
    "number": "1164868071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 BRANNIFF DR",
            "address_2": "SUITE 106",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 BRANNIFF DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134109",
            "telephone_number": "515-509-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-18",
        "status": "A",
        "authorized_official_last_name": "BALLAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-509-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wonho Lee, PMHNP
• Leed Associates, P.a.
• Nikkita Nicole Leeks
• Victoria Rance Leff, MSW
• Carrieann Lefsaker, LCMHC-A
• Legacy Healthcare
• Legacy Healthcare Services Inc
• Legacy Healthcare Services Inc
• Kiera Theresa Legette
• Sarah Michelle Lehman, PT, DPT

• Chiropractor in Cary, NC
• Providers in Cary, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; 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.