Organization Active NPI

Chiro Solutions, PLLC.

  • Chiropractor
  • Goldsboro, NC
National Provider Identifier
1356799449
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4617 Issued in NC
Legal business name
CHIRO SOLUTIONS, PLLC.
Practice address
605 N Spence Ave
Goldsboro, NC 27534-4263
Phone
(516) 998-5431
NPI assigned
May 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Wayne Paul WagnerNPI 1568580801
Title
Member
Phone
(516) 998-5431

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 4617 NC Primary

Addresses

Primary practice location

605 N Spence Ave
Goldsboro, NC 27534-4263

Mailing address

605 N Spence Ave
Goldsboro, NC 27534-4263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160713000278 NC Part B Supplier - Clinic/Group Practice 0749572667 Receives reassigned benefits from 1 practitioner
Practice locations: Goldsboro, NC

National Provider Directory

National Provider Directory

Locations

605 N Spence Ave
Goldsboro, NC 27534
Phone (919) 751-0555

Practitioners & affiliated clinicians

Practitioners 1

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": "1464566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1356799449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344263",
            "telephone_number": "516-998-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO SOLUTIONS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-30",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-998-5431"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.