919 Spine HS PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

919 SPINE HS PLLC

Doing business as

919 Spine

Practice address

121 Quantum St
Holly Springs, NC 27540-8862

Phone

(919) 342-0900

NPI assigned

Jan 8, 2019

Last updated

Jun 5, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

919 SPINEAs reported in NPPES

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

Authorized official

Name

Matthew Arthur, DCNPI 1710247010

Title

Owner

Phone

(919) 342-0900

Specialties & licenses 1

Addresses

Other names 1

• 919 Spine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

919 Spine

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• 919 Spine

  • Chiropractor
  • Cary, NC
  • NPI 1407397375
  NPPES parent name

Practitioners 2

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.

• Matthew Arthur, D.C

  • Chiropractor
  • Holly Springs, NC
  • NPI 1710247010
  Medicare reassignment NPD Authorized official
• Cody Thomas Gioia, DC

  • Chiropractor
  • Springfield, VA
  • NPI 1063983401

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1508339029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 QUANTUM ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408862",
            "telephone_number": "919-342-0900",
            "fax_number": "919-342-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 QUANTUM ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408862",
            "telephone_number": "919-342-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "919 SPINE HS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "919 SPINE",
        "enumeration_date": "2019-01-08",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-342-0900",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Medicfusion",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "121 Quantum St",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275408862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "919 Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephanie S Adams-Gilmer, LCSW
• Randall S. Adamson, DC

• Chiropractor in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.