Organization Active NPI

Atlantic Coast Chiropractic

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1467532226
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3423 Issued in NC
Legal business name
ATLANTIC COAST CHIROPRACTIC
Practice address
6841 D Market St
Wilmington, NC 28405-7132
Phone
(910) 798-0101
Fax
(910) 798-0102
NPI assigned
Oct 16, 2006
Last updated
Aug 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Anthony N Giacalone, DCNPI 1144296468
Title
President
Phone
(910) 798-0101

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 3423 NC Primary

Addresses

Primary practice location

6841 D Market St
Wilmington, NC 28405-7132

Mailing address

6841 D Market St
Wilmington, NC 28405-7132
Phone (910) 798-0101

Other identifiers 4

IdentifierTypeStateIssuer
6691270001OtherNCNATIONAL SUPPLIER CLEARINGHOUSE NPI
085W9OtherNCBCBS
2458436OtherNCMEDICARE PTAN
5902802MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040206000089 NC Part B Supplier - Clinic/Group Practice 1153214705 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

6841 Market St
Ste D
Wilmington, NC 28405
Phone (910) 798-0101

Practitioners & affiliated clinicians

Practitioners 5

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1467532226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 D MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057132",
            "telephone_number": "910-798-0101",
            "fax_number": "910-798-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 D MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057132",
            "telephone_number": "910-798-0101",
            "fax_number": "910-798-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "GIACALONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-798-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIER CLEARINGHOUSE NPI",
            "identifier": "6691270001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085W9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2458436",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902802",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.