Chisholm Chiropractic Center P a

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2063 Issued in NC

Legal business name

CHISHOLM CHIROPRACTIC CENTER P A

Practice address

605 Hillsborough St
Raleigh, NC 27603-1731

Phone

(919) 829-5757

Fax

(919) 829-5808

NPI assigned

Dec 31, 2009

Last updated

Dec 31, 2009By 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. Chad Eric Chisholm, D.CNPI 1124182019

Title

Chiropractor

Phone

(919) 829-5757

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Chisholm Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chisholm Chiropractic Center

  • Chiropractor
  • Raleigh, NC
  • NPI 1366611386
  NPD tax ID

Practitioners 3

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.

• Chad E Chisholm, DC

  • Chiropractor
  • Raleigh, NC
  • NPI 1124182019
  Medicare reassignment Care Compare group NPD Authorized official
• Bruce Michael Ward Jr., D.C.

  • Chiropractor
  • Raleigh, NC
  • NPI 1033541453
  Medicare reassignment Care Compare group NPD
• Dena Delvaron Granger, D.C.

  • Chiropractor
  • Collierville, TN
  • NPI 1750653572
  NPD (past)

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1528398286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031731",
            "telephone_number": "919-829-5757",
            "fax_number": "919-829-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031731",
            "telephone_number": "919-829-5757",
            "fax_number": "919-829-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISHOLM CHIROPRACTIC CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "919-829-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890822B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890220V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penelope Chirolde, LCMHCA
• Chiropractic Cafe, PLLC
• Chiropractic Fitness Centers PC
• Chiropractic Works, PLLC (W. Randall Murray, D.C.)
• Chisholm Chiropractic Center
• Chad E Chisholm, DC
• Allison Chisley, AFL PROVIDER
• John Douglas Chitla, BS PHARM
• Jackson Chunkit Chiu, M.D.
• Richard Allen Chiulli, MD

• Medical Specialty Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.