Individual provider Active NPI

Jessica Gundelfinger, D.C.

  • Chiropractor
  • Clayton, NC
National Provider Identifier
1255767323
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4506 Issued in NC
Practice address
34 Oleander Dr Ste 104
Clayton, NC 27527-4599
Phone
(919) 585-1313
Fax
(919) 585-1350
NPI assigned
Sep 20, 2013
Last updated
Aug 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 558 AK
Chiropractor 111N00000X 4506 NC Primary

Addresses

Primary practice location

34 Oleander Dr Ste 104
Clayton, NC 27527-4599

Mailing address

34 Oleander Dr Ste 104
Clayton, NC 27527-4599
Phone (919) 585-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
558AKMDChiropractor
4506NCMDSpeech-Language Pathologist

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": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1255767323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR STE 104",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "919-585-1313",
            "fax_number": "919-585-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR STE 104",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "919-585-1313",
            "fax_number": "919-585-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDELFINGER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "558",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.