Elemental Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELEMENTAL CHIROPRACTIC PLLC

Practice address

1628 Old Apex Rd
Cary, NC 27513-5719

Phone

(919) 367-6752

NPI assigned

Sep 3, 2020

Organization subpart

No

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

Authorized official

Name

Daniele Grathwohl Ellen Grathwohl, DC

Title

Owner

Phone

(612) 845-6991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Conner David Runyan, DC

  • Chiropractor
  • Raleigh, NC
  • NPI 1356986087
  Medicare reassignment Care Compare group NPD
• Daniele Ellen Runyan, DC

  • Chiropractor
  • Cary, NC
  • NPI 1225677305
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1336753623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 OLD APEX RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135719",
            "telephone_number": "919-367-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 OLD APEX RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135719",
            "telephone_number": "919-367-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "GRATHWOHL",
        "authorized_official_first_name": "DANIELE GRATHWOHL",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-845-6991",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azizah A El-Amin
• Elaina Hernandez, LCSW, PLLC
• Bonnie G Elber, RD, LDN
• Bobby V. Elder Jr., LPCA
• James Lucas Elder
• Faith Best Elgart, OTR/L
• Shinu Elias
• Elite Hands Physician Assistant Services, PLLC
• Returi Priti Elkins-Williams, MD
• Maha A. Elkordy, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.