Individual provider Active NPI

John William Eckman III, D.C.

  • Chiropractor
  • Albemarle, NC
National Provider Identifier
1174557342
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2984 Issued in NC
Practice address
1738 Badin Rd
Albemarle, NC 28001-5306
Phone
(704) 983-2177
Fax
(704) 983-2212
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2984 NC Primary

Addresses

Primary practice location

1738 Badin Rd
Albemarle, NC 28001-5306

Mailing address

1738 Badin Rd
Albemarle, NC 28001-5306
Phone (704) 983-2177

Other identifiers 4

IdentifierTypeStateIssuer
350054963OtherNCPALMETTO GBA
89085ERMedicaidNC
P00228432OtherNCRAILROAD MEDICARE
085EROtherNCBLUE CROSS / BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000656 NC Practitioner - Chiropractic 5092981761 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Albemarle, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Carolina Health Solutions PLLCGroup PAC ID 5698167377, 2 clinicians

Practice addresses (Care Compare)

1738 Badin Rd
Albemarle, NC 28001-5306
Phone (704) 983-2177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2984NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Health Solutions, PLLC Chiropractor CurrentSince Aug 1, 2021 Accepting new patients
John W Eckman III Chiropractor CurrentSince Sep 24, 2001 Accepting new patients

Locations

1738 Badin Rd
Albemarle, NC 28001
Phone (704) 983-2177

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295654400000",
    "number": "1174557342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 BADIN RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015306",
            "telephone_number": "704-983-2177",
            "fax_number": "704-983-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 BADIN RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015306",
            "telephone_number": "704-983-2177",
            "fax_number": "704-983-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "350054963",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085ER",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00228432",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "085ER",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.