Organization Active NPI

Edgecombe Chiropractic Inc

Doing business as Hammer Chiropractic Tarboro

  • Chiropractor
  • Tarboro, NC
National Provider Identifier
1407976590
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3396 Issued in NC
Legal business name
EDGECOMBE CHIROPRACTIC INC
Doing business as
Hammer Chiropractic Tarboro
Practice address
1801 Main Street
Tarboro, NC 27886
Phone
(252) 823-5444
Fax
(252) 823-4370
NPI assigned
Mar 30, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. Steven A Clark, DC
Title
Chiropractor
Phone
(252) 823-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3396 NC Primary

Addresses

Primary practice location

1801 Main Street
Tarboro, NC 27886

Mailing address

1801 Main Street
Tarboro, NC 27886
Phone (252) 823-5444

Other names 1

  • Hammer Chiropractic Tarboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edgecombe Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1801 N Main St
Tarboro, NC 27886
Phone (252) 823-5444

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1407976590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MAIN STREET",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "27886",
            "telephone_number": "252-823-5444",
            "fax_number": "252-823-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MAIN STREET",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "27886",
            "telephone_number": "252-823-5444",
            "fax_number": "252-823-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGECOMBE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "252-823-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammer Chiropractic Tarboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.