Organization Active NPI

Schilsky Roff Freeman PLLC

Doing business as Freeman Chiropractic Center

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1225055031
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3069 Issued in NC
Legal business name
SCHILSKY ROFF FREEMAN PLLC
Doing business as
Freeman Chiropractic Center
Practice address
458 Knollwood St
Winston Salem, NC 27103-3426
Phone
(336) 768-3838
Fax
(336) 794-7473
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Thomas A Freeman, D.C.
Title
Chiropractor
Phone
(336) 768-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3069 NC Primary

Addresses

Primary practice location

458 Knollwood St
Winston Salem, NC 27103-3426

Mailing address

458 Knollwood St
Winston Salem, NC 27103-3426
Phone (336) 768-3838

Other identifiers 1

IdentifierTypeStateIssuer
89085JGMedicaidNC

Other names 1

  • FREEMAN CHIROPRACTIC CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

458 Knollwood St
Winston Salem, NC 27103
Phone (336) 765-9292

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1225055031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 KNOLLWOOD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033426",
            "telephone_number": "336-768-3838",
            "fax_number": "336-794-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 KNOLLWOOD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033426",
            "telephone_number": "336-768-3838",
            "fax_number": "336-794-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHILSKY ROFF FREEMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "336-768-3838",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085JG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREEMAN CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.