Organization Active NPI

Dr. Anthony W. Hamm, PA

  • Orthopedic Chiropractor
  • Goldsboro, NC
National Provider Identifier
1518039643
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
111NX0800X Issued in NC
Legal business name
DR. ANTHONY W. HAMM, PA
Practice address
1100 Parkway Dr
Suite B
Goldsboro, NC 27534-3477
Phone
(919) 751-1155
Fax
(919) 751-1151
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Anthony W Hamm, DC, FACO
Title
Chiropractic Orthopedist
Phone
(919) 751-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 111NX0800X NC Primary

Addresses

Primary practice location

1100 Parkway Dr
Suite B
Goldsboro, NC 27534-3477

Mailing address

1100 Parkway Dr
Suite B
Goldsboro, NC 27534-3477
Phone (919) 751-1155

Other identifiers 2

IdentifierTypeStateIssuer
08470OtherNCBCBS
8908470MedicaidNC

National Provider Directory

National Provider Directory

Locations

1100 Parkway Dr
Ste B
Goldsboro, NC 27534
Phone (919) 751-1155

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1518039643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PARKWAY DR",
            "address_2": "SUITE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275343477",
            "telephone_number": "919-751-1155",
            "fax_number": "919-751-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PARKWAY DR",
            "address_2": "SUITE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275343477",
            "telephone_number": "919-751-1155",
            "fax_number": "919-751-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANTHONY W. HAMM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTIC ORTHOPEDIST",
        "authorized_official_telephone_number": "919-751-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FACO"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "NC",
            "license": "111NX0800X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08470",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908470",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.