Individual provider Active NPI

Stuart Dewitt, DC

  • Chiropractor
  • Hickory, NC
National Provider Identifier
1265935993
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4690 Issued in NC
Practice address
256 3Rd Ave NW # a
Hickory, NC 28601-4962
Phone
(828) 323-8998
NPI assigned
Mar 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4690 NC Primary

Addresses

Primary practice location

256 3Rd Ave NW # a
Hickory, NC 28601-4962

Mailing address

256 3Rd Ave NW # a
Hickory, NC 28601-4962
Phone (828) 323-8998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514002049 NC Practitioner - Chiropractic 9830453190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Hickory Chiropractic Clinic PLLCGroup PAC ID 1254509698, 3 clinicians

Practice addresses (Care Compare)

256 3Rd Ave NW
Suite a
Hickory, NC 28601-4962
Phone (828) 323-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4690NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hickory Chiropractic Clinic PLLC CurrentSince Mar 27, 2018 Accepting new patients
Hickory Chiropractic Clinic, PLLC Chiropractor Past Accepting new patients

Locations

256 3rd Ave NW
Ste A
Hickory, NC 28601
Phone (828) 323-8998

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1265935993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 3RD AVE NW # A",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014962",
            "telephone_number": "828-323-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 3RD AVE NW # A",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014962",
            "telephone_number": "828-323-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "STUART",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.