First Choice Chiropractic, Inc.

Key facts

NPI

1497734537

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

License

3287 (NC)

Legal business name

FIRST CHOICE CHIROPRACTIC, INC.

Practice address

500 NC Highway 5 S
Suite a
Pinehurst, NC 28374-9714

Phone

(910) 295-0955

Fax

(910) 295-3427

NPI assigned

Jan 16, 2006

Organization subpart

No

Authorized official

Name

Dr. Korey Lynn Geerdes, D.C. NPI 1972627578

Title

Chiropractor

Phone

(910) 295-0955

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Korey Geerdes, PA-C Physician Assistant · Franklin, NC · NPI 1972627578
  NPD (past) Authorized official CHIROPRACTOR
• Todd Stone, D.C. Chiropractor · Asheville, NC · NPI 1891814026
  NPD (past) CHIROPRACTOR

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Geerdes Chiropractic Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497734537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NC HIGHWAY 5 S",
            "address_2": "SUITE A",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749714",
            "telephone_number": "910-295-0955",
            "fax_number": "910-295-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NC HIGHWAY 5 S",
            "address_2": "SUITE A",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749714",
            "telephone_number": "910-295-0955",
            "fax_number": "910-295-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEERDES",
        "authorized_official_first_name": "KOREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "910-295-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085UP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "085UP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geerdes Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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