Organization Active NPI

Carolina Chiropractic Center P a

  • Health Maintenance Organization
  • Greensboro, NC
National Provider Identifier
1386076693
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1107 Issued in NC
Legal business name
CAROLINA CHIROPRACTIC CENTER P A
Practice address
2007 W Vandalia Rd
Greensboro, NC 27407-7617
Phone
(336) 855-6316
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Gary W McKeel, D.C.NPI 1184602799
Title
Owner
Phone
(336) 855-6316

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
Health Maintenance Organization 302R00000X 1107 NC Primary

Addresses

Primary practice location

2007 W Vandalia Rd
Greensboro, NC 27407-7617

Mailing address

2007 W Vandalia Rd
Greensboro, NC 27407-7617
Phone (336) 855-6316

National Provider Directory

National Provider Directory

Locations

2007 W Vandalia Rd
Greensboro, NC 27407
Phone (336) 855-6316

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": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1386076693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 W VANDALIA RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077617",
            "telephone_number": "336-855-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 W VANDALIA RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077617",
            "telephone_number": "336-855-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHIROPRACTIC CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "MCKEEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-855-6316",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.