Adjust Experience Chiropractic, P. a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3330 Issued in NC

Legal business name

ADJUST EXPERIENCE CHIROPRACTIC, P. A.

Practice address

1905 Skibo Rd
Suite 103
Fayetteville, NC 28314-1518

Phone

(910) 480-1111

Fax

(910) 480-1113

NPI assigned

Feb 28, 2008

Last updated

Mar 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Salvatore Cosimo Daniele, D.C.NPI 1184732430

Title

Owner

Phone

(910) 480-1111

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salvatore Cosimo Daniele, B.S., D,C.

  • Chiropractor
  • Fayetteville, NC
  • NPI 1184732430
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1497924021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WESTWOOD SHOPPING CTR",
            "address_2": "SUITE 5",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141532",
            "telephone_number": "910-480-1111",
            "fax_number": "910-480-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SKIBO RD",
            "address_2": "SUITE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141518",
            "telephone_number": "910-480-1111",
            "fax_number": "910-480-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST EXPERIENCE CHIROPRACTIC, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "DANIELE",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "COSIMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-480-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "085UX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U91086",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085UX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.