Individual provider Active NPI

Derek Musciano, DC

  • Chiropractor
  • Apex, NC
National Provider Identifier
1275184038
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05093 Issued in NC
Practice address
320 N Salem St Ste 102
Apex, NC 27502-1481
Phone
(919) 362-5646
NPI assigned
Sep 24, 2019
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 05093 NC Primary

Addresses

Primary practice location

320 N Salem St Ste 102
Apex, NC 27502-1481

Mailing address

320 N Salem St Ste 102
Apex, NC 27502-1481
Phone (919) 362-5646

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
5093NCMDMental Health Counselor
05093NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1275184038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N SALEM ST STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021481",
            "telephone_number": "919-362-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N SALEM ST STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021481",
            "telephone_number": "919-362-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCIANO",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "05093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.