Organization Active NPI

Salisbury Chiropractic, PC

  • Chiropractor
  • Salisbury, NC
National Provider Identifier
1265816201
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4028 Issued in NC
Legal business name
SALISBURY CHIROPRACTIC, PC
Practice address
2907 S Main St
Salisbury, NC 28147-7903
Phone
(704) 633-9335
Fax
(704) 633-1743
NPI assigned
Jul 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Dr. David Dwight Godwin, D.C.NPI 1548336050
Title
Owner
Phone
(704) 633-9335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4028 NC Primary

Addresses

Primary practice location

2907 S Main St
Salisbury, NC 28147-7903

Mailing address

2907 S Main St
Salisbury, NC 28147-7903
Phone (704) 633-9335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151029000713 NC Part B Supplier - Clinic/Group Practice 6002125267 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, NC

National Provider Directory

National Provider Directory

Locations

2907 S Main St
Salisbury, NC 28147
Phone (704) 633-9335

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1265816201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 S MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281477903",
            "telephone_number": "704-633-9335",
            "fax_number": "704-633-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 S MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281477903",
            "telephone_number": "704-633-9335",
            "fax_number": "704-633-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-633-9335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.