Active NPI
Clinton Sellers, DC, MS, CCSP
- Chiropractor
- Raleigh, NC
National Provider Identifier
1174975700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4646
- Practice address
- 3948 Browning PL Ste 110
Raleigh, NC 27609-6512 - Phone
- (919) 699-8184
- Fax
- (919) 480-2757
- NPI assigned
- Jul 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4646 | NC | |
| Rehabilitation Chiropractor | 111NR0400X | 4646 | NC | |
| Chiropractor | 111N00000X | 4646 | NC | Primary |
Addresses
Primary practice location
3948 Browning PL Ste 110
Raleigh, NC 27609-6512
Mailing address
3948 Browning PL Ste 110
Raleigh, NC 27609-6512
Phone (919) 699-8184
Other names 1
- Dr. Clint Sellers
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@peakchiropracticnc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4646 | NC | MD | Rehabilitation Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Raleigh, NC
- NPI 1417405101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1174975700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3948 BROWNING PL STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096512",
"telephone_number": "919-699-8184",
"fax_number": "919-480-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 BROWNING PL STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096512",
"telephone_number": "919-699-8184",
"fax_number": "919-480-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "DC, MS, CCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-07",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NC",
"license": "4646",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NC",
"license": "4646",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4646",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@peakchiropracticnc.com",
"affiliation": "N",
"address_1": "211 E Six Forks Rd Ste 207",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276097755",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CLINT",
"last_name": "SELLERS",
"prefix": "DR.",
"credential": "DC, MS, CCSP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.