Organization Active NPI

Mountain Community Chiropractic and Health Arts Center PA

  • Internist Chiropractor
  • Sylva, NC
National Provider Identifier
1326304429
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
2602 Issued in NC
Legal business name
MOUNTAIN COMMUNITY CHIROPRACTIC AND HEALTH ARTS CENTER PA
Practice address
256 Marsh Lily Dr
Sylva, NC 28779-9477
Phone
(828) 586-1043
NPI assigned
Apr 3, 2012
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Jeffrey Goldwasser, D.O.NPI 1831363415
Title
Owner
Phone
(828) 586-1043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 2602 NC Primary

Addresses

Primary practice location

256 Marsh Lily Dr
Sylva, NC 28779-9477

Mailing address

256 Marsh Lily Dr
Sylva, NC 28779-9477
Phone (828) 586-1043

Other identifiers 1

IdentifierTypeStateIssuer
2454163BOtherNCMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

256 Marsh Lily Dr
Sylva, NC 28779
Phone (828) 256-1043

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1326304429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 MARSH LILY DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799477",
            "telephone_number": "828-586-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MARSH LILY DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799477",
            "telephone_number": "828-586-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMMUNITY CHIROPRACTIC AND HEALTH ARTS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "GOLDWASSER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-586-1043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "NC",
            "license": "2602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "2454163B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

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