Organization Active NPI

Atlas Chiropractic and Wellness Center, PA

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1467521203
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2196 Issued in NC
Legal business name
ATLAS CHIROPRACTIC AND WELLNESS CENTER, PA
Practice address
10931 Strickland Rd
Suite 131
Raleigh, NC 27615-2085
Phone
(919) 518-1234
Fax
(919) 518-0878
NPI assigned
Nov 7, 2006
Last updated
Jan 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Dr. John S. Boccella, DCNPI 1063413771
Title
President
Phone
(919) 518-1234

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 2196 NC Primary

Addresses

Primary practice location

10931 Strickland Rd
Suite 131
Raleigh, NC 27615-2085

Mailing address

10931 Strickland Rd
Suite 131
Raleigh, NC 27615-2085
Phone (919) 518-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000111 NC Part B Supplier - Clinic/Group Practice 0840369385 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

10931 Strickland Rd
Raleigh, NC 27615
Phone (919) 844-7140

10931 Strickland Rd
Ste 131
Raleigh, NC 27615
Phone (919) 518-1234

Practitioners & affiliated clinicians

Practitioners 3

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1467521203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 STRICKLAND RD",
            "address_2": "SUITE 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152085",
            "telephone_number": "919-518-1234",
            "fax_number": "919-518-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 STRICKLAND RD",
            "address_2": "SUITE 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152085",
            "telephone_number": "919-518-1234",
            "fax_number": "919-518-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CHIROPRACTIC AND WELLNESS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "BOCCELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-518-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.