Organization Active NPI

Cetd Chiropractic Services P.C.

Doing business as Clearview Chiropractic Wellness Center

  • Chiropractor
  • Southern Shores, NC
National Provider Identifier
1356648406
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3669 Issued in NC
Legal business name
CETD CHIROPRACTIC SERVICES P.C.
Doing business as
Clearview Chiropractic Wellness Center
Practice address
1 Ocean Blvd
Suite 104
Southern Shores, NC 27949-3616
Phone
(252) 261-3100
Fax
(252) 261-3240
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Casey Titus, D.C.NPI 1609836147
Title
President
Phone
(252) 261-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3669 NC Primary

Addresses

Primary practice location

1 Ocean Blvd
Suite 104
Southern Shores, NC 27949-3616

Mailing address

1 Ocean Blvd
Suite 104
Southern Shores, NC 27949-3616
Phone (252) 261-3100

Other names 1

  • Clearview Chiropractic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000531 NC Part B Supplier - Clinic/Group Practice 2466634183 Receives reassigned benefits from 1 practitioner
Practice locations: Southern Shores, NC

National Provider Directory

National Provider Directory

Locations

1 Ocean Blvd
Ste 104
Southrn Shore, NC 27949
Phone (252) 261-3100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1356648406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OCEAN BLVD",
            "address_2": "SUITE 104",
            "city": "SOUTHERN SHORES",
            "state": "NC",
            "postal_code": "279493616",
            "telephone_number": "252-261-3100",
            "fax_number": "252-261-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OCEAN BLVD",
            "address_2": "SUITE 104",
            "city": "SOUTHERN SHORES",
            "state": "NC",
            "postal_code": "279493616",
            "telephone_number": "252-261-3100",
            "fax_number": "252-261-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CETD CHIROPRACTIC SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-261-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Shores, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.