Active NPI
Dr. Anthony W. Hamm, PA
- Orthopedic Chiropractor
- Goldsboro, NC
National Provider Identifier
1518039643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 111NX0800X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08470 | Other | NC | BCBS |
| 8908470 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.