Organization Active NPI

Carolina Spinal Care & Laser Therapy Center PC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1538428347
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3038 Issued in NC
Legal business name
CAROLINA SPINAL CARE & LASER THERAPY CENTER PC
Practice address
12201 N NC Highway 150
Suite #4
Winston Salem, NC 27127-9731
Phone
(336) 775-7600
Fax
(336) 775-7610
NPI assigned
May 14, 2012
Last updated
May 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Damian Sean Scelfo, DCNPI 1972521649
Title
Doctor/Ceo
Phone
(336) 775-7600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3038 NC Primary

Addresses

Primary practice location

12201 N NC Highway 150
Suite #4
Winston Salem, NC 27127-9731

Mailing address

12201 N NC Highway 150
Suite #4
Winston Salem, NC 27127-9731
Phone (336) 775-7600

National Provider Directory

National Provider Directory

Locations

12201 N NC Highway 150
Ste 4
Winston Salem, NC 27127
Phone (336) 775-7600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1538428347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 N NC HIGHWAY 150",
            "address_2": "SUITE #4",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271279731",
            "telephone_number": "336-775-7600",
            "fax_number": "336-775-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 N NC HIGHWAY 150",
            "address_2": "SUITE #4",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271279731",
            "telephone_number": "336-775-7600",
            "fax_number": "336-775-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPINAL CARE & LASER THERAPY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "SCELFO",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "DOCTOR/CEO",
        "authorized_official_telephone_number": "336-775-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.