Organization Active NPI

Creedmoor Wellness Center, PLLC

  • Chiropractor
  • Creedmoor, NC
National Provider Identifier
1245476712
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3380 Issued in NC
Legal business name
CREEDMOOR WELLNESS CENTER, PLLC
Practice address
106 W Church St Ste E
Creedmoor, NC 27522-9765
Phone
(919) 528-7290
Fax
(919) 528-7297
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Cheryl Ann Hanly, DCNPI 1700852894
Title
Owner
Phone
(919) 528-7290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3380 NC Primary

Addresses

Primary practice location

106 W Church St Ste E
Creedmoor, NC 27522-9765

Mailing address

PO Box 786
Creedmoor, NC 27522-0786
Phone (919) 528-7290

Other identifiers 1

IdentifierTypeStateIssuer
2458179AOtherNCMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

106 W Church St
Ste E
Creedmoor, NC 27522
Phone (919) 528-7290

506 N Main St
Creedmoor, NC 27522
Phone (919) 528-7290

602 N Durham Ave
Ste D
Creedmoor, NC 27522
Phone (919) 528-7290

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1245476712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275220786",
            "telephone_number": "919-528-7290",
            "fax_number": "919-528-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W CHURCH ST STE E",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229765",
            "telephone_number": "919-528-7290",
            "fax_number": "919-528-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDMOOR WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "HANLY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-528-7290",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2458179A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.