Organization Active NPI

Sunset Ridge Chiropractic, PC

  • Chiropractor
  • Holly Springs, NC
National Provider Identifier
1184720302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUNSET RIDGE CHIROPRACTIC, PC
Practice address
1100 Holly Springs Rd
Suite 100
Holly Springs, NC 27540-9469
Phone
(919) 577-3974
Fax
(919) 577-6351
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wendy R Popow, D.C.
Title
Owner
Phone
(919) 577-3974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NC Primary

Addresses

Primary practice location

1100 Holly Springs Rd
Suite 100
Holly Springs, NC 27540-9469

Mailing address

1100 Holly Springs Rd
Suite 100
Holly Springs, NC 27540-9469
Phone (919) 577-3974

Other identifiers 2

IdentifierTypeStateIssuer
89015X0MedicaidNC
015X0OtherNCBC/ BS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1100 Holly Springs Rd
Ste 100
Holly Springs, NC 27540
Phone (919) 557-1973

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184720302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HOLLY SPRINGS RD",
            "address_2": "SUITE 100",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409469",
            "telephone_number": "919-577-3974",
            "fax_number": "919-577-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HOLLY SPRINGS RD",
            "address_2": "SUITE 100",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409469",
            "telephone_number": "919-577-3974",
            "fax_number": "919-577-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET RIDGE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPOW",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-577-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015X0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/ BS GROUP NUMBER",
            "identifier": "015X0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.