Carolina Chirocare and Rehab Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3985 Issued in NC

Legal business name

CAROLINA CHIROCARE AND REHAB INC.

Practice address

1207 Ridge Rd
Raleigh, NC 27607-6834

Phone

(919) 809-7839

Fax

(919) 809-7839

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S. Gerdes, D.C.NPI 1205089703

Title

President

Phone

(919) 809-7839

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Jeffrey Stanton Gerdes, D.C.

  • Chiropractor
  • Raleigh, NC
  • NPI 1205089703
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1174834501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076834",
            "telephone_number": "919-809-7839",
            "fax_number": "919-809-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076834",
            "telephone_number": "919-809-7839",
            "fax_number": "919-809-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHIROCARE AND REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-809-7839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Care Providers Inc
• Carolina Care Transportation LLC
• Carolina Cataract & Laser Center P a
• Carolina Center for Integrative Medicine
• Carolina Center for Restorative Medicine
• Carolina Choice, LLC
• Carolina Colorectal Surgery, PC
• Carolina Community Mental Health Centers, Inc
• Carolina Comprehensive Service, LLC
• Carolina Comprehensive Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.