Organization Active NPI

Hampton D Hadley D.C., P.a.

  • Chiropractor
  • Jacksonville, NC
National Provider Identifier
1376852293
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2926 Issued in NC
Legal business name
HAMPTON D HADLEY D.C., P.A.
Practice address
1905 Gum Branch Rd
Jacksonville, NC 28540-4531
Phone
(910) 938-2332
Fax
(910) 938-7066
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Hampton D HadleyNPI 1396754339
Title
President/Owner
Phone
(910) 938-2332

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 2926 NC Primary

Addresses

Primary practice location

1905 Gum Branch Rd
Jacksonville, NC 28540-4531

Mailing address

1905 Gum Branch Rd
Jacksonville, NC 28540-4531
Phone (910) 938-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101102000879 NC Part B Supplier - Clinic/Group Practice 5092909135 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, NC

National Provider Directory

National Provider Directory

Locations

1905 Gum Branch Rd
Jacksonville, NC 28540
Phone (910) 938-2332

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": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1376852293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 GUM BRANCH RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404531",
            "telephone_number": "910-938-2332",
            "fax_number": "910-938-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 GUM BRANCH RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404531",
            "telephone_number": "910-938-2332",
            "fax_number": "910-938-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON D HADLEY D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "HAMPTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "910-938-2332"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.