Advantage Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANTAGE CHIROPRACTIC, PC

Practice address

1460 Kelly Rd Ste 102
Apex, NC 27502-9515

Phone

(304) 627-5435

Fax

(910) 399-7651

NPI assigned

Mar 10, 2021

Last updated

Mar 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jared Kyle Surbaugh, DCNPI 1215166574

Title

Owner

Phone

(304) 627-5435

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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.

• Jared Kyle Surbaugh, D.C.

  • Chiropractor
  • Apex, NC
  • NPI 1215166574
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1184209223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARED SURBAUGH",
            "address_2": "2105 AMALFI PL.",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27502",
            "telephone_number": "304-627-5435",
            "fax_number": "910-399-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 KELLY RD STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029515",
            "telephone_number": "304-627-5435",
            "fax_number": "910-399-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "SURBAUGH",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-627-5435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "docsurbaugh@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "pending our office emails",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1460 Kelly Rd Ste 102",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275029515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Salima Ahamad, BS,CNMT,FNLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.