NPIMap

Organization Active NPI

Greater Raleigh Chiropractic and Rehab PLLC

Doing business as Raleigh Spine Clinic

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1295285872
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34992546 Issued in NC
Legal business name
GREATER RALEIGH CHIROPRACTIC AND REHAB PLLC
Doing business as
Raleigh Spine Clinic
Practice address
8450 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-3549
Phone
(919) 847-3959
Fax
(919) 848-3948
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Dr. Jeffrey Brian Roistacher, D.C.
Title
Chiropractor
Phone
(919) 847-3959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 34992546 NC Primary

Addresses

Primary practice location

8450 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-3549

Mailing address

8450 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-3549
Phone (919) 847-3959

Other names 1

  • Raleigh Spine Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1295285872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153549",
            "telephone_number": "919-847-3959",
            "fax_number": "919-848-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153549",
            "telephone_number": "919-847-3959",
            "fax_number": "919-848-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER RALEIGH CHIROPRACTIC AND REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "ROISTACHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "919-847-3959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "34992546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Spine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.