Active NPI
Freedom Chiropractic, PLLC
- Chiropractor
- Jacksonville, NC
National Provider Identifier
1477809796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4166
- Legal business name
- FREEDOM CHIROPRACTIC, PLLC
- Practice address
- 445 Western Blvd
Suite O
Jacksonville, NC 28546-6845 - Phone
- (352) 239-0886
- NPI assigned
- Jul 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sara Stroud, D.C.
- Title
- Member/Manager
- Phone
- (352) 239-0886
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4166 | NC | Primary |
Addresses
Primary practice location
445 Western Blvd
Suite O
Jacksonville, NC 28546-6845
Mailing address
PO Box 12559
Jacksonville, NC 28546-2559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5921111 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
445 Western Blvd
Ste O
Jacksonville, NC 28546
Phone (910) 238-2330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jacksonville, NC
- NPI 1679864326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351123200000",
"number": "1477809796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12559",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285462559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 WESTERN BLVD",
"address_2": "SUITE O",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466845",
"telephone_number": "352-239-0886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-24",
"last_updated": "2012-10-25",
"status": "A",
"authorized_official_last_name": "STROUD",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "MEMBER/MANAGER",
"authorized_official_telephone_number": "352-239-0886",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "4166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5921111",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.