NPIMap

Organization Active NPI

Carolina Functional Neurology Center

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1629696398
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAROLINA FUNCTIONAL NEUROLOGY CENTER
Doing business as
Carolina Functional Neurology Center
Practice address
6511 Creedmoor Rd Ste 102
Raleigh, NC 27613-1687
Phone
(919) 725-2202
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Dana BrindisiNPI 1396084802
Title
Dr
Phone
(919) 725-2202

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6511 Creedmoor Rd Ste 102
Raleigh, NC 27613-1687

Mailing address

6511 Creedmoor Rd Ste 102
Raleigh, NC 27613-1687
Phone (919) 725-2202

Other names 1

  • Carolina Functional Neurology Center Doing business as

National Provider Directory

National Provider Directory

Locations

6511 Creedmoor Rd
Ste 102
Raleigh, NC 27613
Phone (919) 725-2202

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": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1629696398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 CREEDMOOR RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131687",
            "telephone_number": "919-725-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 CREEDMOOR RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131687",
            "telephone_number": "919-725-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FUNCTIONAL NEUROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "BRINDISI",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "919-725-2202"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Functional Neurology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.