Individual provider Active NPI

Regan James Buck, DC

  • Chiropractor
  • Durham, NC
National Provider Identifier
1457841983
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4934 Issued in NC
Practice address
5842 Fayetteville Rd Ste 111
Durham, NC 27713-6294
Phone
(919) 237-3008
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4934 NC Primary

Addresses

Primary practice location

5842 Fayetteville Rd Ste 111
Durham, NC 27713-6294

Mailing address

5842 Fayetteville Rd Ste 111
Durham, NC 27713-6294
Phone (919) 237-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622001852 NC Practitioner - Chiropractic 7719232313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Pain and Performance PLLCGroup PAC ID 2961776737, 2 clinicians

Practice addresses (Care Compare)

5842 Fayetteville Rd
Suite 111
Durham, NC 27713-6294
Phone (919) 237-3008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4934NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pain and Performance PLLC Chiropractor CurrentSince May 12, 2018 Accepting new patients
My PT LLC PastSince May 12, 2018 Accepting new patients

Locations

5842 Fayetteville Rd
Ste 111
Durham, NC 27713
Phone (919) 237-3008

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1457841983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 FAYETTEVILLE RD STE 111",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136294",
            "telephone_number": "919-237-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 FAYETTEVILLE RD STE 111",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136294",
            "telephone_number": "919-237-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "REGAN",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.