Wake Family Chiropractic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4344 Issued in NC

Legal business name

WAKE FAMILY CHIROPRACTIC PA

Practice address

12335 Wake Union Church Rd
204
Wake Forest, NC 27587-4527

Phone

(919) 404-9171

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 2014By 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. Brandon Kaminski, D.C.NPI 1023452299

Title

President

Phone

(919) 404-9171

Specialties & licenses 1

Addresses

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.

• Brandon Kaminski, D.C.

  • Chiropractor
  • Wake Forest, NC
  • NPI 1023452299
  Authorized official Same address or phone

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1336557750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 WAKE UNION CHURCH RD",
            "address_2": "204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 WAKE UNION CHURCH RD",
            "address_2": "204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874527",
            "telephone_number": "919-404-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-404-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "4344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Wagoner, DDS
• Evan Jonathon Wagoner, DC
• Androu Wahba, DPT
• Wake Audiology & Hearing Aid Associates, PLLC
• Wake County Psychological Services, Inc.
• Wake Foot and Ankle Center PLLC
• Wake Forest Adult Day Care Inc
• Wake Forest Adult Day Health Inc.
• Wake Forest Adult Health Inc
• Wake Forest Chiropractic, PA

• Clinic/Center in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.