Coastal Vitality, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COASTAL VITALITY, LLC

Doing business as

Upper Cervical Spine Center

Practice address

7122 Market St Ste a-140
Wilmington, NC 28411-9890

Phone

(937) 689-2603

NPI assigned

Oct 16, 2021

Last updated

Oct 16, 2021By 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. Zachary Shaw, DCNPI 1649933458

Title

Chiropractor

Phone

(937) 689-2603

Specialties & licenses 1

Addresses

Other names 1

• Upper Cervical Spine Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Shaw, DC

  • Chiropractor
  • Charlotte, NC
  • NPI 1649933458
  NPD Authorized official

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634342400000",
    "number": "1386307478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7122 MARKET ST STE A-140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119890",
            "telephone_number": "937-689-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7122 MARKET ST STE A-140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119890",
            "telephone_number": "937-689-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VITALITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-16",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "937-689-2603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Cervical Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coastal Vision Center
• Coastal Women's Health & Wellness, PLLC
• Coastal Womens Care PC
• Coastalcare
• Coastline Gynecology PA
• Coastline Therapy Group, LLC

• Chiropractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.