Raleigh Spine Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1958 Issued in NC

Legal business name

RALEIGH SPINE CENTER, PLLC

Practice address

1425 Rock Quarry Rd
Suite 104
Raleigh, NC 27610-4100

Phone

(919) 620-7900

Fax

(919) 479-5061

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Thomas W Legrow, D.C.

Title

Owner

Phone

(919) 620-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1407028756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRUTCHFIELD ST",
            "address_2": "SUITE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042771",
            "telephone_number": "919-620-7900",
            "fax_number": "919-479-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 ROCK QUARRY RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104100",
            "telephone_number": "919-620-7900",
            "fax_number": "919-479-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "LEGROW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-620-7900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "08513",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raleigh Sedation Associates LLC
• Raleigh Skin Surgery Center
• Raleigh Skin Surgery Center
• Raleigh Specific Chiropractic, Inc.
• Raleigh Spine and Trauma
• Raleigh Surgical Group, Inc.
• Raleigh Therapy Services, Inc
• Raleigh Urgent Care Center, PA
• Raleigh Urology PA
• Raleigh Vein & Laser Center PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.