Individual provider Active NPI

Thomas Kent Mitchell, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1235168873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2448 Issued in NC
Practice address
2500 Blue Ridge Rd
Suite 308
Raleigh, NC 27607-6469
Phone
(919) 785-2200
Fax
(919) 785-2211
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2448 NC Primary

Addresses

Primary practice location

2500 Blue Ridge Rd
Suite 308
Raleigh, NC 27607-6469

Mailing address

2500 Blue Ridge Rd
Suite 308
Raleigh, NC 27607-6469
Phone (919) 785-2200

Other identifiers 1

IdentifierTypeStateIssuer
890828UMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000135 NC Practitioner - Chiropractic 3173704632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3909 Sunset Ridge Rd
Suite 102
Raleigh, NC 27607-6668
Phone (919) 785-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2448NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Mitchell DC PA Chiropractor CurrentSince Oct 24, 2013 Accepting new patients

Locations

3909 Sunset Ridge Rd
Ste 102
Raleigh, NC 27607
Phone (919) 785-2200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235168873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BLUE RIDGE RD",
            "address_2": "SUITE 308",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076469",
            "telephone_number": "919-785-2200",
            "fax_number": "919-785-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BLUE RIDGE RD",
            "address_2": "SUITE 308",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076469",
            "telephone_number": "919-785-2200",
            "fax_number": "919-785-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "THOMAS",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890828U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.