John Paul Dudley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3883 Issued in NC

Practice address

301 S Broad St
Mooresville, NC 28115-3207

Phone

(704) 663-2010

Fax

(704) 660-9292

NPI assigned

Nov 1, 2006

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Dudley Chiropractic, PLLC

  • Chiropractor
  • Mooresville, NC
  • NPI 1467620542
  Medicare reassignment NPD Authorized official
• Corner Canyon Chiropractic

  • Chiropractor
  • Draper, UT
  • NPI 1740588441
  NPD (past)
• Ogden Audiology Services LLC

  dba Momentum Hearing Centers

  • Audiologist
  • Ogden, UT
  • NPI 1811040140
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1316024045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S BROAD ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153207",
            "telephone_number": "704-663-2010",
            "fax_number": "704-660-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BROAD ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153207",
            "telephone_number": "704-663-2010",
            "fax_number": "704-660-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "3883",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Groody and Reimels PLLC
• DRS Moshos and Reimels PLLC
• DRS Poore Robinson & Associates PA
• Craig Daniel Dubois, M.D.
• Dudley Chiropractic, PLLC
• Dudley's Home Health, Inc.
• Dudleys Home Health Inc
• Lizeth Duenas, MD
• Leslie Marie Duff, LCSWA
• Duke Health Integrated Practice, Inc. (Duke Health Integrated Practice Lake Norman)

• Chiropractor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.