NPIMap

Organization Active NPI

Goldsboro Spine Center, PLLC

  • Chiropractor
  • Goldsboro, NC
National Provider Identifier
1538173455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3286 Issued in NC
Legal business name
GOLDSBORO SPINE CENTER, PLLC
Practice address
505 N Spence Ave Ste a
Goldsboro, NC 27534-4292
Phone
(919) 751-0555
Fax
(919) 751-3001
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Torri Fair Gambacorta, DCNPI 1306840681
Title
Member
Phone
(919) 751-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3284 NC
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3286 NC Primary

Addresses

Primary practice location

505 N Spence Ave Ste a
Goldsboro, NC 27534-4292

Mailing address

505 N Spence Ave Ste a
Goldsboro, NC 27534-4292
Phone (919) 751-0555

Other identifiers 1

IdentifierTypeStateIssuer
017RGOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

505 N Spence Ave
Ste A
Goldsboro, NC 27534
Phone (919) 751-0555

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538173455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N SPENCE AVE STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344292",
            "telephone_number": "919-751-0555",
            "fax_number": "919-751-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N SPENCE AVE STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344292",
            "telephone_number": "919-751-0555",
            "fax_number": "919-751-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSBORO SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIR GAMBACORTA",
        "authorized_official_first_name": "TORRI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-751-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3284",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "017RG",
            "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 Aug 22, 2020; 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.