South Square Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1575 Issued in NC

Legal business name

SOUTH SQUARE CHIROPRACTIC

Practice address

3626 Shannon Rd
Durham, NC 27707-3596

Phone

(919) 490-5400

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Chester D Palumbo, DCNPI 1386623866

Title

Owner

Phone

(919) 490-5400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chester D. Palumbo, D.C.

  • Chiropractor
  • Durham, NC
  • NPI 1386623866
  NPD (past) Authorized official

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1508020686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 SHANNON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073596",
            "telephone_number": "919-490-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 SHANNON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073596",
            "telephone_number": "919-490-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SQUARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-490-5400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Assisted Living, LLC.

• Chiropractor in Durham, NC
• Providers in Durham, 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 17, 2008; 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.