Camelot Chiropractic Centre, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3369 Issued in NC

Legal business name

CAMELOT CHIROPRACTIC CENTRE, INC.

Practice address

4023 Village Park Dr
Knightdale, NC 27545-7044

Phone

(919) 261-9444

Fax

(919) 261-9470

NPI assigned

Dec 13, 2006

Last updated

Dec 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason N Kucma, D.C.NPI 1205831989

Title

President

Phone

(919) 261-9444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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.

• Jason N Kucma, D.C.

  • Chiropractor
  • Knightdale, NC
  • NPI 1205831989
  Medicare reassignment Authorized official
• John E. Sena, D.C.

  • Chiropractor
  • Pittsboro, NC
  • NPI 1073006177
  NPD
• Jose Cano

  • Chiropractor
  • Knightdale, NC
  • NPI 1881513026
  NPD (past)
• Lisa K Kucma, D.C.

  • Chiropractor
  • Knightdale, NC
  • NPI 1689792004
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1245391366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 VILLAGE PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "919-261-9444",
            "fax_number": "919-261-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 VILLAGE PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "919-261-9444",
            "fax_number": "919-261-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT CHIROPRACTIC CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "KUCMA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-261-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCB",
            "identifier": "085V8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Buchanan, PHARM D.
• Sara A Buchenberger, MA, LCMHCA, NCC
• Chrystal Althea Buckrham, SLP
• Nicole Pederson Burnett, DPT
• Amanda Cadarette, RDN, LDN, CLC
• Mary Katheryn Campbell Campbell
• Jose Cano
• Jacqueline Tucker Cardenas, MSN, RN, FNP-C
• Care Assistance, Inc
• Care Haven Collective Care Services

• Chiropractor in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.