Triad Pro Health Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4491 Issued in NC

Legal business name

TRIAD PRO HEALTH CHIROPRACTIC

Practice address

1802 Martin Luther King Parkway
Suite 107
Durham, NC 27707-3586

Phone

(919) 401-5061

Fax

(919) 401-8253

NPI assigned

Nov 25, 2014

Last updated

Nov 25, 2014By 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. Fritz G. Mesilien, D.C.

Title

Owner/Chiropractor

Phone

(919) 401-5061

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stevens Chiropractic & Wellness Center Former legal business name

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1366849960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 MARTIN LUTHER KING PKWY",
            "address_2": "SUITE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-401-5061",
            "fax_number": "919-401-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MARTIN LUTHER KING PARKWAY",
            "address_2": "SUITE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-401-5061",
            "fax_number": "919-401-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD PRO HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "MESILIEN",
        "authorized_official_first_name": "FRITZ",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "919-401-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1073914511",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens Chiropractic & Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Triangle Area Psychology Clinic
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• Chiropractor in Durham, NC
• Providers in Durham, 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 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.