Individual provider Active NPI

Justin Gianni, DC

  • Chiropractor
  • Apex, NC
National Provider Identifier
1336544337
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4523 Issued in NC
Practice address
1480 Chapel Ridge Rd Ste 150
Apex, NC 27502-8504
Phone
(919) 335-5954
NPI assigned
Nov 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4523 NC Primary

Addresses

Primary practice location

1480 Chapel Ridge Rd Ste 150
Apex, NC 27502-8504

Mailing address

1480 Chapel Ridge Rd Ste 150
Apex, NC 27502-8504
Phone (919) 335-5954

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120002298 NC Practitioner - Chiropractic 9739403833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Family Chiropractic PLLCGroup PAC ID 4587091954, 2 clinicians

Practice addresses (Care Compare)

1480 Chapel Ridge Rd
Suite 150
Apex, NC 27502-8632
Phone (919) 335-5954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4523NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mybraindr LLC CurrentSince Jun 1, 2020 Accepting new patients
Performance Family Chiropractic PLLC Chiropractor CurrentSince Feb 17, 2020 Accepting new patients

Locations

270 Cornerstone Dr
Ste 101
Cary, NC 27519
Phone (919) 461-0046

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1336544337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 CHAPEL RIDGE RD STE 150",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028504",
            "telephone_number": "919-335-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CHAPEL RIDGE RD STE 150",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028504",
            "telephone_number": "919-335-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNI",
        "first_name": "JUSTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.