Healthsource of Raleigh Northwest

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4513 Issued in NC

Legal business name

HEALTHSOURCE OF RALEIGH NORTHWEST

Practice address

4025 Lake Boone TRL
Suite 120
Raleigh, NC 27607-2986

Phone

(919) 785-9191

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brendal Epling, D.C

Title

Owner

Phone

(919) 785-9191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1477926582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 LAKE BOONE TRL",
            "address_2": "SUITE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276072986",
            "telephone_number": "919-785-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 LAKE BOONE TRL",
            "address_2": "SUITE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276072986",
            "telephone_number": "919-785-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF RALEIGH NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "EPLING",
        "authorized_official_first_name": "BRENDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-785-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcore Resource, Inc.
• Healthcore Resource, Inc.
• Healthfirst Transport, LLC
• Healthlinckx Inc
• Healthsource of Lake Boone Trail, PLLC
• Healthy World
• Hearing & Audiology Services, P.a.
• Nautica Hearn
• Heart Bridge Care Navigation,LLC
• Heart to Heart Home Care Assistance

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.