Organization Active NPI

Port City Chiropractic Inc.

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1215096334
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3092 Issued in NC
Legal business name
PORT CITY CHIROPRACTIC INC.
Practice address
3926 Market St
Suite 204
Wilmington, NC 28403-1449
Phone
(910) 343-9500
Fax
(910) 343-9599
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Steve Binder, DC
Title
Doctor
Phone
(910) 343-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3092 NC Primary

Addresses

Primary practice location

3926 Market St
Suite 204
Wilmington, NC 28403-1449

Mailing address

3926 Market St
Suite 204
Wilmington, NC 28403-1449
Phone (910) 343-9500

Other identifiers 3

IdentifierTypeStateIssuer
89085H6MedicaidNC
641817OtherNCACN
085H6OtherNCBCBS

Other names 1

  • Carolina Chiropractic Consultants Other name

National Provider Directory

National Provider Directory

Locations

3926 Market St
Ste 204
Wilmington, NC 28403
Phone (910) 343-9500

Practitioners & affiliated clinicians

Practitioners 3

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1215096334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 MARKET ST",
            "address_2": "SUITE 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031449",
            "telephone_number": "910-343-9500",
            "fax_number": "910-343-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 MARKET ST",
            "address_2": "SUITE 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031449",
            "telephone_number": "910-343-9500",
            "fax_number": "910-343-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "910-343-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085H6",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "641817",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085H6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Chiropractic Consultants",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.