Active NPI
Concord Family Chiropractic
- Chiropractor
- Concord, NC
National Provider Identifier
1639277536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2824
- Legal business name
- CONCORD FAMILY CHIROPRACTIC
- Practice address
- 810 Church St N
Concord, NC 28025-4338 - Phone
- (704) 795-1000
- Fax
- (704) 795-1040
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent David Brown, DC
- Title
- Presidaent
- Phone
- (704) 795-1000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2824 | NC | Primary |
Addresses
Primary practice location
810 Church St N
Concord, NC 28025-4338
Mailing address
810 Church St N
Concord, NC 28025-4338
Phone (704) 795-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2652267 | Other | NC | AETNA HMO |
| 8908444 | Medicaid | NC | |
| 7001301 | Other | NC | AETNA PPO |
| 0844U | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
810 Church St N
Concord, NC 28025
Phone (704) 795-1000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Concord, NC
- NPI 1497747893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639277536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254338",
"telephone_number": "704-795-1000",
"fax_number": "704-795-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254338",
"telephone_number": "704-795-1000",
"fax_number": "704-795-1040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD FAMILY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDAENT",
"authorized_official_telephone_number": "704-795-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "2824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2652267",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908444",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7001301",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0844U",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, 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.