Deese & Locklear Chiropractic Center, PLLC
Organization Active NPI Chiropractor · Pembroke, NC
NPI 1366635989 · NPPES record last updated Oct 27, 2016
Key facts
- NPI
- 1366635989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2915 (NC)
- Legal business name
- DEESE & LOCKLEAR CHIROPRACTIC CENTER, PLLC
- Practice address
- 812 Candy Park Rd
Suite 6103
Pembroke, NC 28372-9129 - Phone
- (910) 521-3093
- Fax
- (910) 521-3095
- NPI assigned
- Aug 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Lora Kay Oxendine
- Title
- Office Manager
- Phone
- (910) 521-3093
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080604000193 | NC | Part B Supplier - Clinic/Group Practice | 8729158605 |
Receives reassigned benefits from 2 practitioners Practice locations: Pembroke, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2915 | NC | Yes |
Addresses
Primary practice location
812 Candy Park Rd
Suite 6103
Pembroke, NC 28372-9129
Mailing address
PO Box 2219
Pembroke, NC 28372-2219
Phone (910) 521-3093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950376 | Medicaid | NC |
Other providers in Pembroke, NC
- Zena Cummings
- Jaquoya Shanae Davis
- Samaya Dawson-Hart
- Chelsea Elizabeth Dawson
- Deese & Locklear Chiropractic Center
- Christina Dale Deese
- Holly Deese
- John Ashley Deese
- Tara Deese
- Yanira Delao
All providers in Pembroke, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.