Individual provider Active NPI

Torri Fair Gambacorta, D.C.

  • Chiropractor
  • Goldsboro, NC
National Provider Identifier
1306840681
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3284 Issued in NC
Practice address
605 N Spence Ave
Goldsboro, NC 27534-4263
Phone
(919) 759-2040
Fax
(919) 751-3001
NPI assigned
Jun 2, 2005
Last updated
Jul 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3284 NC Primary

Addresses

Primary practice location

605 N Spence Ave
Goldsboro, NC 27534-4263

Mailing address

605 N Spence Ave
Goldsboro, NC 27534-4263
Phone (919) 759-2040

Other identifiers 2

IdentifierTypeStateIssuer
085UGOtherBCBS
89085UGMedicaidNC

Other names 1

  • Dr. Torri Fair Gambacorta Other name

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
3644SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Goldsboro Spine Center, PLLC Chiropractor Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: torri@mbsc0002.direct.chirotouch.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1306840681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344263",
            "telephone_number": "919-759-2040",
            "fax_number": "919-751-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344263",
            "telephone_number": "919-759-2040",
            "fax_number": "919-751-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR GAMBACORTA",
        "first_name": "TORRI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085UG",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085UG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORRI",
            "last_name": "FAIR GAMBACORTA",
            "prefix": "DR.",
            "credential": "D,.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.