NPIMap

Organization Active NPI

Southeastern Healthcare Centers PC

  • Chiropractor
  • Leland, NC
National Provider Identifier
1205899192
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHEASTERN HEALTHCARE CENTERS PC
Practice address
110D Village Rd NE
Leland, NC 28451-7412
Phone
(910) 371-1000
Fax
(910) 371-1500
NPI assigned
Apr 11, 2006
Last updated
Feb 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEASTERN HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Maurice V. Horton, D.CNPI 1326040106
Title
Owner
Phone
(910) 392-1488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

110D Village Rd NE
Leland, NC 28451-7412

Mailing address

110D Village Rd NE
Leland, NC 28451-7412
Phone (910) 371-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040131000157 NC Part B Supplier - Clinic/Group Practice 0648173054 Receives reassigned benefits from 8 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Leland, NC; Wilmington, NC; Shallotte, NC

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Healthcare C5 organizations share this tax ID, including this one
Part of
Southeastern Healthcare C

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1205899192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110D VILLAGE RD NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517412",
            "telephone_number": "910-371-1000",
            "fax_number": "910-371-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110D VILLAGE RD NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517412",
            "telephone_number": "910-371-1000",
            "fax_number": "910-371-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HEALTHCARE CENTERS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN HEALTHCARE",
        "enumeration_date": "2006-04-11",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-392-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.