NPIMap

Organization Active NPI

Havelock Chiropractic Center P.a.

  • Chiropractor
  • Havelock, NC
National Provider Identifier
1437217213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1843 Issued in NC
Legal business name
HAVELOCK CHIROPRACTIC CENTER P.A.
Practice address
314 Highway 70 West
Havelock, NC 28532
Phone
(252) 447-0791
Fax
(252) 447-0791
NPI assigned
Dec 5, 2006
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. David Lee Woodward, D.C.NPI 1831273127
Title
Owner
Phone
(252) 447-0791

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1843 NC Primary

Addresses

Primary practice location

314 Highway 70 West
Havelock, NC 28532

Mailing address

314 Highway 70 West
Havelock, NC 28532
Phone (252) 447-0791

Other identifiers 3

IdentifierTypeStateIssuer
08939OtherNCBCBS
8908939MedicaidNC
0194LOtherNYCNC OF NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437217213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HIGHWAY 70 WEST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "28532",
            "telephone_number": "252-447-0791",
            "fax_number": "252-447-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 HIGHWAY 70 WEST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "28532",
            "telephone_number": "252-447-0791",
            "fax_number": "252-447-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVELOCK CHIROPRACTIC CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-447-0791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08939",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908939",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC OF NC",
            "identifier": "0194L",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havelock, 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.