Individual provider Active NPI

James Brian Morosky, D.C.

  • Chiropractor
  • Shallotte, NC
National Provider Identifier
1396025946
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4819 Issued in NC
Practice address
728 Village Rd SW
Shallotte, NC 28470-3412
Phone
(910) 755-5400
Fax
(910) 755-5402
NPI assigned
Aug 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4217 OH
Chiropractor 111N00000X 4819 NC Primary

Addresses

Primary practice location

728 Village Rd SW
Shallotte, NC 28470-3412

Mailing address

728 Village Rd SW
Shallotte, NC 28470-2444
Phone (910) 755-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219000504 NC Practitioner - Chiropractic 6103099387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina ChiropracticGroup PAC ID 5395780860, 7 clinicians

Practice addresses (Care Compare)

728 Village Rd
Shallotte, NC 28470-3412
Phone (910) 755-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4217OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Chiropractic Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1396025946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 VILLAGE RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284702444",
            "telephone_number": "910-755-5400",
            "fax_number": "910-755-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 VILLAGE RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703412",
            "telephone_number": "910-755-5400",
            "fax_number": "910-755-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROSKY",
        "first_name": "JAMES",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4217",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.