NPIMap

Organization Active NPI

Hooper-Thurston Elite Chiropractic Center Inc

  • Chiropractor
  • Wilson, NC
National Provider Identifier
1609967884
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1497 Issued in NC
Legal business name
HOOPER-THURSTON ELITE CHIROPRACTIC CENTER INC
Practice address
806 Hines St W
Wilson, NC 27893-3022
Phone
(252) 237-2166
Fax
(252) 237-2167
NPI assigned
Sep 27, 2006
Last updated
Nov 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Mark G Hooper, DCNPI 1477644672
Title
Owner
Phone
(252) 237-2166

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1497 NC Primary

Addresses

Primary practice location

806 Hines St W
Wilson, NC 27893-3022

Mailing address

806 Hines St W
Wilson, NC 27893-3022
Phone (252) 237-2166

Other identifiers 2

IdentifierTypeStateIssuer
890186UMedicaidNC
0186UOtherNCBCBSNC GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000528 NC Part B Supplier - Clinic/Group Practice 4688723901 Receives reassigned benefits from 3 practitioners
Practice locations: Wilson, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1609967884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HINES ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933022",
            "telephone_number": "252-237-2166",
            "fax_number": "252-237-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HINES ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933022",
            "telephone_number": "252-237-2166",
            "fax_number": "252-237-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPER-THURSTON ELITE CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-237-2166",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890186U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP NUMBER",
            "identifier": "0186U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.