Active NPI
Dennis Ray Royal, DC
- Chiropractor
- Fayetteville, NC
National Provider Identifier
1245290220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3100
- Practice address
- 532A N McPherson Church Rd
Fayetteville, NC 28303-4497 - Phone
- (910) 860-3050
- Fax
- (910) 860-3080
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2628 | SC | |
| Chiropractor | 111N00000X | 3100 | NC | Primary |
Addresses
Primary practice location
532A N McPherson Church Rd
Fayetteville, NC 28303-4497
Mailing address
532A N McPherson Church Rd
Fayetteville, NC 28303-4497
Phone (910) 860-3050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085JX | Medicaid | NC | |
| 085JX | Other | NC | BLUE CROSS BLUE SHIELD |
| 2212152 | Other | NC | FIRST HEALTH |
| 647611 | Other | NC | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040929000693 | NC | Practitioner - Chiropractic | 4284603978 | Practice locations: Fayetteville, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2810 Bragg Blvd
Fayetteville, NC 28303-4148
Phone (910) 860-3050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3100 | NC | MD | Chiropractor |
| 2628 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1245290220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532A N MCPHERSON CHURCH RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034497",
"telephone_number": "910-860-3050",
"fax_number": "910-860-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532A N MCPHERSON CHURCH RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034497",
"telephone_number": "910-860-3050",
"fax_number": "910-860-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "DENNIS",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2628",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085JX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "085JX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2212152",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "647611",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
- Vonceil Rowles
- Devin Roy, DO
- Royal Diabetes Medical Equipment, Inc.
- Royal Glytz Hair Replacemet
- Royal Laine Healthcare, LLC (Eastover Gardens)
- Royally Home Health LLC (Royally Home Health)
- Royals Open Arms Private Home Care Agency LLC
- Ashlee Brooke Roybal, MD
- Falon Rozhitsky, DMD, MS, MBA
- Gwendolyn T Rozier, LCAS-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.