Active NPI
Hunter Samuel Buckley, DC
- Chiropractor
- Clayton, NC
National Provider Identifier
1548873706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5188
- Practice address
- 8928 US 70 Bus Hwy W Ste 700
Clayton, NC 27520-4847 - Phone
- (919) 553-5505
- Fax
- (919) 553-9909
- NPI assigned
- Aug 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5188 | NC | Primary |
Addresses
Primary practice location
8928 US 70 Bus Hwy W Ste 700
Clayton, NC 27520-4847
Mailing address
8928 US 70 Bus Hwy W Ste 700
Clayton, NC 27520-4847
Phone (919) 553-5505
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ECCBILLING2@ELITECENTERS.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201026000585 | NC | Practitioner - Chiropractic | 2264852573 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5188 | NC | MD | Reflexologist |
Interoperability endpoints
- eccbilling2@elitecenters.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1548873706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8928 US 70 BUS HWY W STE 700",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275204847",
"telephone_number": "919-553-5505",
"fax_number": "919-553-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8928 US 70 BUS HWY W STE 700",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275204847",
"telephone_number": "919-553-5505",
"fax_number": "919-553-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "HUNTER",
"middle_name": "SAMUEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-27",
"last_updated": "2020-08-27",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5188",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ECCBILLING2@ELITECENTERS.NET",
"affiliation": "N",
"address_1": "8928 US 70 Bus Hwy W Ste 700",
"city": "Clayton",
"state": "NC",
"country_code": "US",
"postal_code": "275204847",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clayton, NC
- Richard M Browne, PA
- Anna Sullivan Bruton, ANP-C
- Angela Harper Bryan
- Latoya Dimitra Buchanan, FNP-BC
- Monica Buchanan
- Taylor Budzynski, DPT
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.