Organization Active NPI

Alpha Chiropractic, PLLC

  • Chiropractor
  • Washington, NC
National Provider Identifier
1295233583
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4115 Issued in NC
Legal business name
ALPHA CHIROPRACTIC, PLLC
Practice address
610 W 15TH St Ste 10
Washington, NC 27889-3527
Phone
(252) 632-0322
NPI assigned
Feb 1, 2018
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Dr. John Bailey Bland II, DCNPI 1649780032
Title
Manager
Phone
(252) 632-0322

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
Chiropractor 111N00000X 4115 NC Primary

Addresses

Primary practice location

610 W 15TH St Ste 10
Washington, NC 27889-3527

Mailing address

610 W 15TH St Ste 10
Washington, NC 27889-3527
Phone (252) 632-0322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180319000008 NC Part B Supplier - Clinic/Group Practice 8628330362 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, NC

National Provider Directory

National Provider Directory

Locations

1832 W 5th St
Washington, NC 27889
Phone (252) 495-0102

610 W 15th St
Washington, NC 27889
Phone (252) 632-0322

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1295233583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W 15TH ST STE 10",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893527",
            "telephone_number": "252-632-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W 15TH ST STE 10",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893527",
            "telephone_number": "252-632-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-632-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.