Organization Active NPI

James G. Halvorson

  • Neurology Chiropractor
  • Black Mountain, NC
National Provider Identifier
1407971815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
1707 Issued in NC
Legal business name
JAMES G. HALVORSON
Practice address
997 Old US Hwy 70 W
Black Mountain, NC 28711-2665
Phone
(828) 664-1600
Fax
(828) 664-1601
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paula Halvorson, D.C.
Title
Chiropractic
Phone
(828) 664-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 1707 NC Primary

Addresses

Primary practice location

997 Old US Hwy 70 W
Black Mountain, NC 28711-2665

Mailing address

997 Old US Hwy 70 W
Black Mountain, NC 28711-2665
Phone (828) 664-1600

Other identifiers 2

IdentifierTypeStateIssuer
011R5OtherNCBCBS GROUP NUMBER
89011R5MedicaidNC

Other names 1

  • Halvorson Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407971815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 OLD US HWY 70 W",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112665",
            "telephone_number": "828-664-1600",
            "fax_number": "828-664-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 OLD US HWY 70 W",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112665",
            "telephone_number": "828-664-1600",
            "fax_number": "828-664-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G. HALVORSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "828-664-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "NC",
            "license": "1707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "011R5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011R5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halvorson Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.