NPIMap

Organization Active NPI

Carolina Concussion Care

  • Chiropractor
  • Wilson, NC
National Provider Identifier
1467097584
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAROLINA CONCUSSION CARE
Practice address
806 Hines St W
Wilson, NC 27893-3022
Phone
(252) 221-9039
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Mark Hooper, D.C.NPI 1477644672
Title
Owner
Phone
(252) 230-1017

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 NU Primary

Addresses

Primary practice location

806 Hines St W
Wilson, NC 27893-3022

Mailing address

806 Hines St W
Wilson, NC 27893-3022
Phone (252) 221-9039

National Provider Directory

National Provider Directory

Locations

806 Hines St W
Wilson, NC 27893
Phone (252) 237-2166

Practitioners & affiliated clinicians

Practitioners 10

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": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1467097584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HINES ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933022",
            "telephone_number": "252-221-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HINES ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933022",
            "telephone_number": "252-221-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CONCUSSION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-230-1017",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.