Organization Active NPI

Little River Clinic of Chiropractic Inc

Doing business as Advanced Chiropractic

  • Chiropractor
  • Clayton, NC
National Provider Identifier
1194125005
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4506 Issued in NC
Legal business name
LITTLE RIVER CLINIC OF CHIROPRACTIC INC
Doing business as
Advanced Chiropractic
Practice address
34 Oleander Dr Ste 104
Clayton, NC 27527-4599
Phone
(919) 585-1313
Fax
(919) 585-1350
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Dr. Jessica Gundelfinger, D.C.
Title
Co-Owner
Phone
(919) 585-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4506 NC Primary

Addresses

Primary practice location

34 Oleander Dr Ste 104
Clayton, NC 27527-4599

Mailing address

34 Oleander Dr Ste 104
Clayton, NC 27527-4599
Phone (919) 585-1313

Other names 1

  • Advanced Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

34 Oleander Dr
Ste 104
Clayton, NC 27527
Phone (919) 243-1505

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1194125005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR STE 104",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "919-585-1313",
            "fax_number": "919-585-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR STE 104",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "919-585-1313",
            "fax_number": "919-585-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE RIVER CLINIC OF CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "GUNDELFINGER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "919-585-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.