Individual provider Active NPI

Charles Bailey, D.C.

  • Chiropractor
  • Boone, NC
National Provider Identifier
1245553171
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008608 Issued in GA
Practice address
643 Greenway Rd Ste a
Boone, NC 28607-4840
Phone
(828) 265-4845
NPI assigned
Mar 5, 2010
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008608 GA Primary

Addresses

Primary practice location

643 Greenway Rd Ste a
Boone, NC 28607-4840

Mailing address

643 Greenway Rd Ste a
Boone, NC 28607-4840
Phone (828) 265-4845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150912000087 NC Practitioner - Chiropractic 7315254000 Practice locations: Boone, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008608GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Chiropractic Center Chiropractor CurrentSince Aug 4, 2016 Accepting new patients
Hans J Vanheule, DC PA Chiropractor Past Accepting new patients

Locations

643 Greenway Rd
Ste A
Boone, NC 28607
Phone (828) 265-4845

Organizations & group practices 2

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": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1245553171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 GREENWAY RD STE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074840",
            "telephone_number": "828-265-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 GREENWAY RD STE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074840",
            "telephone_number": "828-265-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-05",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.