Organization Active NPI

Innate Health Family Chiropractic & Wellness

  • Chiropractor
  • Hampstead, NC
National Provider Identifier
1639627367
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4640 Issued in NC
Legal business name
INNATE HEALTH FAMILY CHIROPRACTIC & WELLNESS
Practice address
14886 US Highway 17 N
Apt 203
Hampstead, NC 28443-3217
Phone
(910) 406-1200
Fax
(910) 406-1201
NPI assigned
Sep 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Dr. Adaguzo O Aniniba, DC
Title
Chiropractor
Phone
(910) 406-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4640 NC Primary

Addresses

Primary practice location

14886 US Highway 17 N
Apt 203
Hampstead, NC 28443-3217

Mailing address

14886 US Highway 17 N
Hampstead, NC 28443-3217
Phone (910) 406-1200

Other identifiers 1

IdentifierTypeStateIssuer
1730631052OtherNCUNKNOWN

National Provider Directory

National Provider Directory

Locations

14886 US Highway 17
Apt 203
Hampstead, NC 28443
Phone (910) 406-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1639627367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14886 US HIGHWAY 17 N",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433217",
            "telephone_number": "910-406-1200",
            "fax_number": "910-406-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14886 US HIGHWAY 17 N",
            "address_2": "APT 203",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433217",
            "telephone_number": "910-406-1200",
            "fax_number": "910-406-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTH FAMILY CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "ANINIBA",
        "authorized_official_first_name": "ADAGUZO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "910-406-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "1730631052",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.