Source for Chiropractic, Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3168 Issued in NC

Legal business name

SOURCE FOR CHIROPRACTIC, INCORPORATED

Practice address

114 Montreat Rd
Black Mountain, NC 28711-3116

Phone

(828) 280-3100

NPI assigned

Jan 27, 2011

Last updated

Mar 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Renee N Graziano, D.C.NPI 1063550507

Title

President

Phone

(828) 280-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Renee Noel Graziano, D.C.

  • Chiropractor
  • Black Mountain, NC
  • NPI 1063550507
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1316243041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MONTREAT RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113116",
            "telephone_number": "828-280-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MONTREAT RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113116",
            "telephone_number": "828-280-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE FOR CHIROPRACTIC, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-280-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Black Mountain, NC
• Providers in Black Mountain, 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 19, 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.