Organization Active NPI

Bodycare Chiropractic Inc

  • Chiropractor
  • Clemmons, NC
National Provider Identifier
1215005806
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3467 Issued in NC
Legal business name
BODYCARE CHIROPRACTIC INC
Practice address
5919 James St
Suite C
Clemmons, NC 27012-9688
Phone
(336) 766-3993
Fax
(336) 766-3991
NPI assigned
Dec 1, 2006
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Maureenrita Work, D.C.NPI 1225120868
Title
Owner President
Phone
(336) 766-3993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3467 NC Primary

Addresses

Primary practice location

5919 James St
Suite C
Clemmons, NC 27012-9688

Mailing address

5919 James St
Suite C
Clemmons, NC 27012-9688
Phone (336) 766-3993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070209000644 NC Part B Supplier - Clinic/Group Practice 5890797450 Receives reassigned benefits from 1 practitioner
Practice locations: Clemmons, NC

National Provider Directory

National Provider Directory

Locations

2419 Lewisville Clemmons Rd
Ste 5
Clemmons, NC 27012
Phone (336) 766-3993

5919 James St
Ste C
Clemmons, NC 27012
Phone (336) 766-3993

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1215005806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 JAMES ST",
            "address_2": "SUITE C",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129688",
            "telephone_number": "336-766-3993",
            "fax_number": "336-766-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 JAMES ST",
            "address_2": "SUITE C",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129688",
            "telephone_number": "336-766-3993",
            "fax_number": "336-766-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYCARE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "WORK",
        "authorized_official_first_name": "MAUREENRITA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "336-766-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.