Organization Active NPI

Freedom Chiropractic, PLLC

  • Chiropractor
  • Jacksonville, NC
National Provider Identifier
1477809796
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4166 Issued in NC
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

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Sara Stroud, D.C.NPI 1679864326
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5921111MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.