Active NPI
Edward Alvin Desjarlais, D.C.
- Chiropractor
- Sanford, NC
National Provider Identifier
1184655821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2650
- Practice address
- 707 Carthage St
Sanford, NC 27330-4108 - Phone
- (919) 776-4304
- Fax
- (919) 776-4305
- NPI assigned
- Jul 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2650 | NC | Primary |
Addresses
Primary practice location
707 Carthage St
Sanford, NC 27330-4108
Mailing address
707 Carthage St
Sanford, NC 27330-4108
Phone (919) 776-4304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184655821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CARTHAGE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304108",
"telephone_number": "919-776-4304",
"fax_number": "919-776-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 CARTHAGE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304108",
"telephone_number": "919-776-4304",
"fax_number": "919-776-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESJARLAIS",
"first_name": "EDWARD",
"middle_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.