Active Chiropractic Rehab and Acupuncture

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE CHIROPRACTIC REHAB AND ACUPUNCTURE

Practice address

519 Brookdale Dr
Statesville, NC 28677-4107

Phone

(704) 380-2800

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By 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. Benjamin Haynes, DCNPI 1801306717

Title

Ownter

Phone

(704) 380-2800

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: admin@activechiro.org

Practitioners 2

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.

• Benjamin Haynes, DC

  • Chiropractor
  • Cornelius, NC
  • NPI 1801306717
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas Gonzales, D.C.

  • Chiropractor
  • Lexington, NC
  • NPI 1205309804
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1326765074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-380-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC REHAB AND ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNTER",
        "authorized_official_telephone_number": "704-380-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@activechiro.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "519 Brookdale Dr",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286774107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen Janelle Abrams, BCBA
• Ken Absher
• Abundant Life Physical Therapy, LLC
• Accordius Health at Statesville LLC
• Tania Mimi Acevedo, M.D.
• Heather Adams, MSW, LCSW-A
• Heidi Rae Adams, DPT
• Jeffery A Adams, MD
• Richard W Adams, M.D.
• Ronald Eugene Adams, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.