Organization Active NPI

Family Circle Chiropractic, PLLC

  • Chiropractor
  • Waynesville, NC
National Provider Identifier
1467932632
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4927 Issued in NC
Legal business name
FAMILY CIRCLE CHIROPRACTIC, PLLC
Practice address
627 N Main St Ste 2
Waynesville, NC 28786-3819
Phone
(828) 280-8503
NPI assigned
Aug 17, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Ezekiel Jonathan Watts, DCNPI 1073005898
Title
Partner
Phone
(828) 280-8503

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 4927 NC Primary

Addresses

Primary practice location

627 N Main St Ste 2
Waynesville, NC 28786-3819

Mailing address

627 N Main St Ste 2
Waynesville, NC 28786-3819
Phone (828) 280-8503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314001231 NC Part B Supplier - Clinic/Group Practice 3971857087 Receives reassigned benefits from 2 practitioners
Practice locations: Waynesville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2259661Family Circle Chiropractic, PLLC627 North Main Street, Ste2, Waynesville, NC 28786Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

627 N Main St
#2
Waynesville, NC 28786
Phone (828) 280-8503

Practitioners & affiliated clinicians

Practitioners 2

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": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1467932632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 N MAIN ST STE 2",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863819",
            "telephone_number": "828-280-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 N MAIN ST STE 2",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863819",
            "telephone_number": "828-280-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CIRCLE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "828-280-8503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.