Kristen Leslie Longman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2791 Issued in NC

Practice address

8207 Market St
Suite D
Wilmington, NC 28411-8889

Phone

(910) 686-6508

Fax

(910) 686-8416

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kristen Leslie Harris Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Porters Neck Chiropractic IncGroup PAC ID 9133316987, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Porters Neck Chiropractic Inc

  • Chiropractor
  • Wilmington, NC
  • NPI 1063598654
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497831077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 MARKET ST",
            "address_2": "SUITE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118889",
            "telephone_number": "910-686-6508",
            "fax_number": "910-686-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 MARKET ST",
            "address_2": "SUITE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118889",
            "telephone_number": "910-686-6508",
            "fax_number": "910-686-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGMAN",
        "first_name": "KRISTEN",
        "middle_name": "LESLIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "662946",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "085H0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HARRIS",
            "middle_name": "LESLIE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jody Long, LPA, LCAS, CCS
• Katherine R Longbottom, RD-LDN, IBCLC
• Kim K Longbottom, LCSW, LCAS
• Alyssa Longenecker, PHARMD
• Jeffrey John Longman, DC
• Danielle Longo, LCMHCA, NCC
• Looking Glass Counseling
• John Joseph Looney, LCSWA
• Eveling Lopez
• Jennifer Noelle Lopez, DPT

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.