Organization Active NPI

Impact Family Chiropractic

  • Chiropractor
  • Clayton, NC
National Provider Identifier
1295272631
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4197 Issued in NC
Legal business name
IMPACT FAMILY CHIROPRACTIC
Practice address
620 Veterans Parkway
Clayton, NC 27520-5803
Phone
(919) 423-0623
Fax
(919) 977-6320
NPI assigned
Jan 24, 2017
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Dr. Danielle Renee Vann, DCNPI 1104109859
Title
Chiropractor/ Owner
Phone
(919) 423-0623

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 4197 NC Primary

Addresses

Primary practice location

620 Veterans Parkway
Clayton, NC 27520-5803

Mailing address

620 Veterans Parkway
Clayton, NC 27520
Phone (919) 977-5744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327002006 NC Part B Supplier - Clinic/Group Practice 6406131879 Receives reassigned benefits from 1 practitioner
Practice locations: Clayton, NC

National Provider Directory

National Provider Directory

Locations

620 Veterans Pkwy
Clayton, NC 27520
Phone (919) 423-0623

Practitioners & affiliated clinicians

Practitioners 1

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": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1295272631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 VETERANS PARKWAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-977-5744",
            "fax_number": "919-977-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 VETERANS PARKWAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205803",
            "telephone_number": "919-423-0623",
            "fax_number": "919-977-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "919-423-0623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4197",
            "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 Jan 17, 2025; 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.