Individual provider Active NPI

Edward Anthony Hagerich, DC

  • Rehabilitation Chiropractor
  • Durham, NC
National Provider Identifier
1407923063
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3340 Issued in NC
Practice address
5107 NC-55
Suite 103
Durham, NC 27713
Phone
(919) 606-1033
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 3340 NC Primary

Addresses

Primary practice location

5107 NC-55
Suite 103
Durham, NC 27713

Mailing address

PO Box 1028
Apex, NC 27502-1028
Phone (919) 606-1033

Other practice location 1

6837 Falls Of Neuse Rd
Raleigh, NC 27615-5308
Phone (919) 606-1033

Other practice location 2

151 Quarrystone Cir
Cary, NC 27519-8449
Phone (919) 606-1033

Other practice location 3

100 Europa Dr
Chapel Hill, NC 27517-2357
Phone (919) 606-1033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000127 NC Practitioner - Chiropractic 5698827988 Practice locations: Cary, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3340NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Neck and Back Center of Erie, LLC PastSince Apr 13, 2025 Accepting new patients
Anselment, P.C. Past Accepting new patients
Curtis C. Bannister PastSince Dec 24, 1998 Accepting new patients

Organizations & group practices 3

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1407923063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021028",
            "telephone_number": "919-606-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 NC-55",
            "address_2": "SUITE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-606-1033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6837 Falls Of Neuse Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276155308",
            "country_code": "US",
            "telephone_number": "919-606-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Quarrystone Cir",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275198449",
            "country_code": "US",
            "telephone_number": "919-606-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Europa Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275172357",
            "country_code": "US",
            "telephone_number": "919-606-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGERICH",
        "first_name": "EDWARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NC",
            "license": "3340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.