Organization Active NPI

Celebration Chiropractic, P.C.

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1376690842
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3495 Issued in NC
Legal business name
CELEBRATION CHIROPRACTIC, P.C.
Practice address
444 Williamson Rd Ste C
Mooresville, NC 28117-9248
Phone
(734) 673-0135
Fax
(704) 663-5197
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Dr. Nicole Anderson Whitehead, D.C.NPI 1902956477
Title
President
Phone
(734) 673-0135

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 3495 NC Primary

Addresses

Primary practice location

444 Williamson Rd Ste C
Mooresville, NC 28117-9248

Mailing address

444 Williamson Rd Ste C
Mooresville, NC 28117-9248
Phone (734) 673-0135

Other names 1

  • Advanced Spinal Fitness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070612000149 NC Part B Supplier - Clinic/Group Practice 9931150182 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Locations

33481 8 Mile Rd
Livonia, MI 48152
Phone (248) 615-1533

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1376690842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WILLIAMSON RD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179248",
            "telephone_number": "734-673-0135",
            "fax_number": "704-663-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WILLIAMSON RD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179248",
            "telephone_number": "734-673-0135",
            "fax_number": "704-663-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATION CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-673-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spinal Fitness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Spinal Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.