Active NPI
Chisholm Chiropractic Center
- Chiropractor
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2063
- Legal business name
- CHISHOLM CHIROPRACTIC CENTER
- Practice address
- 605 Hillsborough St
Raleigh, NC 27603-1731 - Phone
- (919) 829-5757
- Fax
- (919) 829-5808
- NPI assigned
- Feb 24, 2008
- Last updated
- Feb 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad E Chisholm, DC
- Title
- Chiropractor
- Phone
- (919) 829-5757
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2063 | NC | Primary |
Addresses
Primary practice location
605 Hillsborough St
Raleigh, NC 27603-1731
Mailing address
605 Hillsborough St
Raleigh, NC 27603-1731
Phone (919) 829-5757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890220V | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Chisholm Chiropractic Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Raleigh, NC
- NPI 1528398286
Locations
605 Hillsborough St
Raleigh, NC 27603
Phone (919) 289-5757
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Raleigh, NC
- NPI 1124182019
-
- Chiropractor
- Raleigh, NC
- NPI 1033541453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203811200000",
"number": "1366611386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 HILLSBOROUGH ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031731",
"telephone_number": "919-829-5757",
"fax_number": "919-829-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 HILLSBOROUGH ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031731",
"telephone_number": "919-829-5757",
"fax_number": "919-829-5808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHISHOLM CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-24",
"last_updated": "2008-02-24",
"status": "A",
"authorized_official_last_name": "CHISHOLM",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "919-829-5757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890220V",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.