Buckingham Chiropractic P.L.L.C.
Organization Active NPI Chiropractor · Weddington, NC
NPI 1427363563 · NPPES record last updated Sep 6, 2012
Key facts
- NPI
- 1427363563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3471 (NC)
- Legal business name
- BUCKINGHAM CHIROPRACTIC P.L.L.C.
- Practice address
- 13637 Providence Rd
Weddington, NC 28104-9373 - Phone
- (714) 458-7665
- NPI assigned
- Aug 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael J Buckingham, D.C.
- Title
- Member/Chiropractor
- Phone
- (714) 458-7665
Practitioners 2
-
Michael John Buckingham, D.C.
-
Daniel Edward Danieley, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130116000000 | NC | Part B Supplier - Clinic/Group Practice | 9739332131 |
Receives reassigned benefits from 1 practitioner Practice locations: Charlotte, NC |
National Provider Directory
Locations
8430 Rea Rd
Ste C
Charlotte, NC 28277
Phone (980) 262-4457
13637 Providence Rd
Weddington, NC 28104
Phone (704) 814-7737
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3471 | NC | Yes |
Addresses
Primary practice location
13637 Providence Rd
Weddington, NC 28104-9373
Mailing address
16848 Kettlewell LN
Charlotte, NC 28277-2724
Phone (714) 458-7665
Other providers in Weddington, NC
- Amanda P Anderson Ms CCC-SLP LLC
- Amanda Page Anderson
- Sara Bearhalter
- Bravo Zulu Companion Care LLC
- Carolina Family Healthcare, PA
- Chris Vrabel, Psy.D., PLLC
- Jennifer Hibbert Coggins
- Daniel Edward Danieley
- Cindy Ejindu
All providers in Weddington, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.