Individual provider Active NPI

Esther Marie Remeta, D.C.

  • Chiropractor
  • Clemmons, NC
National Provider Identifier
1477502003
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1629 Issued in NC
Practice address
2505 Neudorf Rd
Clemmons, NC 27012-9229
Phone
(336) 940-2924
Fax
(336) 766-0608
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1629 NC Primary

Addresses

Primary practice location

2505 Neudorf Rd
Clemmons, NC 27012-9229

Mailing address

PO Box 24845
Winston Salem, NC 27114-4845
Phone (336) 940-2924

Other identifiers 3

IdentifierTypeStateIssuer
244570BOtherNCMEDICARE ID - TYPE UNSPECIFIED
890830RMedicaidNC
0830ROtherNCBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090930000683 NC Practitioner - Chiropractic 8729124003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2554 Lewisville Clemmons Rd
Suite 312
Clemmons, NC 27012-8749
Phone (336) 940-2924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1629NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Research Institute Inc Chiropractor CurrentSince Jul 21, 2009 Accepting new patients

Locations

2554 Lewisville Clemmons Rd
Ste 312
Clemmons, NC 27012
Phone (336) 940-2924

Organizations & group practices 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1477502003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24845",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271144845",
            "telephone_number": "336-940-2924",
            "fax_number": "336-766-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NEUDORF RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129229",
            "telephone_number": "336-940-2924",
            "fax_number": "336-766-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMETA",
        "first_name": "ESTHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "244570B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890830R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0830R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.