Active Health Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3795 Issued in NC

Legal business name

ACTIVE HEALTH CHIROPRACTIC, INC

Practice address

103 Bernard Court
Chocowinity, NC 27817

Phone

(252) 975-6878

Fax

(252) 975-6816

NPI assigned

Nov 11, 2008

Last updated

Nov 11, 2008By 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. Shannon Courtney Whitehurst, D.C.NPI 1104076835

Title

Owner

Phone

(252) 975-6878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Shannon Courtney Whitehurst, D.C.

  • Chiropractor
  • Chocowinity, NC
  • NPI 1104076835
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1346494713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278170343",
            "telephone_number": "252-975-6878",
            "fax_number": "252-975-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BERNARD COURT",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "27817",
            "telephone_number": "252-975-6878",
            "fax_number": "252-975-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "WHITEHURST",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-975-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Godly Home Health Care, Inc.
• Angels Care Home Health Inc
• Lynn Cale Bassett, LCSW
• Beaufort Regional Physicians, LLC (Chocowinity Family Care)
• Beyond Measure Community Outreach
• Charytis Way Transportation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.