Organization Active NPI

Outten Chiropractic PA

  • Chiropractor
  • Cary, NC
National Provider Identifier
1639893282
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OUTTEN CHIROPRACTIC PA
Practice address
401 High House Rd Ste 110
Cary, NC 27513-7201
Phone
(919) 467-3362
Fax
(919) 467-3233
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Dr. Christopher R Outten, DC
Title
Owner/Provider
Phone
(919) 467-3362

Specialties & licenses 1

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

Addresses

Primary practice location

401 High House Rd Ste 110
Cary, NC 27513-7201

Mailing address

401 High House Rd Ste 110
Cary, NC 27513-7201
Phone (919) 467-3362

Other identifiers 1

IdentifierTypeStateIssuer
8908642MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107000297 NC Part B Supplier - Clinic/Group Practice 7416324397 Receives reassigned benefits from 2 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

401 High House Rd
Ste 110
Cary, NC 27513
Phone (919) 467-3362

Practitioners & affiliated clinicians

Practitioners 2

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": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1639893282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIGH HOUSE RD STE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275137201",
            "telephone_number": "919-467-3362",
            "fax_number": "919-467-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGH HOUSE RD STE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275137201",
            "telephone_number": "919-467-3362",
            "fax_number": "919-467-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTTEN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "OUTTEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "919-467-3362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908642",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.