Myrtle Grove Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MYRTLE GROVE CHIROPRACTIC, PA

Practice address

5552 Carolina Beach Rd
Suite F
Wilmington, NC 28412-2787

Phone

(910) 395-5664

Fax

(910) 395-5625

NPI assigned

Oct 26, 2006

Last updated

Oct 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margie Baum Annis, DCNPI 1710062955

Title

Doctor/Owner

Phone

(910) 395-5664

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Margie Baum Annis, DC

  • Chiropractor
  • Wilmington, NC
  • NPI 1710062955
  Medicare reassignment Care Compare group NPD Authorized official
• Arthur B Annis Jr., DC

  • Chiropractor
  • Wilmington, NC
  • NPI 1053496299
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1477638609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 F CAROLINA BEACH ROAD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122648",
            "telephone_number": "910-395-5664",
            "fax_number": "910-395-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 CAROLINA BEACH RD",
            "address_2": "SUITE F",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122787",
            "telephone_number": "910-395-5664",
            "fax_number": "910-395-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE GROVE CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "ANNIS",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "BAUM",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "910-395-5664",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790185G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0185G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myeyedr Optometry of North Carolina PLLC (MyEyeDr.)
• Myeyedr Optometry of North Carolina, PLLC (Myeyedr)
• Myeyedr Optometry of North Carolina, PLLC (Myeyedr)
• Jolea Lewis Myles, PTA
• Stephanie A Myles, DMD
• Myrtle Grove Optical, LLC
• Kathryn Louise Myslinski, PHARMD
• Menaka M Nadar, M.D.
• Gowd Shiva Nagaraj, MD
• Robert Frank Nagy, D.C.

• Chiropractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.