Active NPI
Edward Anthony Hagerich, DC
- Rehabilitation Chiropractor
- Durham, NC
National Provider Identifier
1407923063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 3340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090717000127 | NC | Practitioner - Chiropractic | 5698827988 | Practice locations: Cary, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3340 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neck and Back Center of Erie, LLC | Past | Accepting new patients | |
| Anselment, P.C. | Past | Accepting new patients | |
| Curtis C. Bannister | Past | 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.
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- Chiropractor
- Erie, PA
- NPI 1366578361
-
- Chiropractor
- Erie, PA
- NPI 1316731284
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.