Organization Active NPI

Connected Chiropractic

  • Chiropractor
  • Clayton, NC
National Provider Identifier
1316340441
Registry record updated Jan 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4500 Issued in NC
Legal business name
CONNECTED CHIROPRACTIC
Practice address
221 NC Highway 42 E
Clayton, NC 27527-5281
Phone
(919) 550-1099
Fax
(919) 550-1902
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2015

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

Authorized official

Name
Dr. Brian Leary, D.C.NPI 1962805093
Title
Member/Owner
Phone
(919) 550-1099

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4500 NC Primary

Addresses

Primary practice location

221 NC Highway 42 E
Clayton, NC 27527-5281

Mailing address

221 NC Highway 42 E
Clayton, NC 27527-5281
Phone (919) 550-1099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150106002522 NC Part B Supplier - Clinic/Group Practice 0749503308 Receives reassigned benefits from 3 practitioners
Practice locations: Clayton, NC

National Provider Directory

National Provider Directory

Locations

1540 E Front St
Clayton, NC 27527
Phone (919) 423-9034

1540 E Front St
Ste 103
Clayton, NC 27527
Phone (919) 307-5678

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420329600000",
    "number": "1316340441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NC HIGHWAY 42 E",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275275281",
            "telephone_number": "919-550-1099",
            "fax_number": "919-550-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NC HIGHWAY 42 E",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275275281",
            "telephone_number": "919-550-1099",
            "fax_number": "919-550-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2015-01-04",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "919-550-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4500",
            "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 4, 2015; 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.