Organization Active NPI

Care Chiropractic Incorporated

  • Chiropractor
  • Henderson, NC
National Provider Identifier
1417096074
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2669 Issued in NC
Legal business name
CARE CHIROPRACTIC INCORPORATED
Practice address
1503 Graham Ave
Henderson, NC 27536-2911
Phone
(252) 438-2273
Fax
(252) 738-0001
NPI assigned
Feb 6, 2007
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Dennis L Myers, D.C.NPI 1609836725
Title
President
Phone
(252) 438-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2669 NC Primary

Addresses

Primary practice location

1503 Graham Ave
Henderson, NC 27536-2911

Mailing address

1503 Graham Ave
Henderson, NC 27536-2911
Phone (252) 438-2273

Other identifiers 4

IdentifierTypeStateIssuer
890838GMedicaidNC
0838GOtherNCBCBS
2117920OtherNCMAMSI PROV ID
619169OtherNCACN & UHC PROV ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081002000672 NC Part B Supplier - Clinic/Group Practice 7618042169 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NC

National Provider Directory

National Provider Directory

Locations

1503 Graham Ave
Henderson, NC 27536
Phone (252) 438-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1417096074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 GRAHAM AVE",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362911",
            "telephone_number": "252-438-2273",
            "fax_number": "252-738-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 GRAHAM AVE",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362911",
            "telephone_number": "252-438-2273",
            "fax_number": "252-738-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-438-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890838G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0838G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROV ID",
            "identifier": "2117920",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN & UHC PROV ID",
            "identifier": "619169",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.