Organization Active NPI

Hammer Chiropractic Inc

  • Chiropractor
  • Rocky Mount, NC
National Provider Identifier
1649348764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAMMER CHIROPRACTIC INC
Practice address
3123 Sunset Avenue
Rocky Mount, NC 27804
Phone
(252) 443-7400
Fax
(252) 443-9519
NPI assigned
Nov 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Traci D Clark, DC CCSP
Title
Chiropractor
Phone
(252) 443-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3123 Sunset Avenue
Rocky Mount, NC 27804

Mailing address

PO Box 8077
Rocky Mount, NC 27804
Phone (252) 443-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090818000756 NC Part B Supplier - Clinic/Group Practice 1052465556 Receives reassigned benefits from 3 practitioners
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Locations

3123 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 443-7400

Practitioners & affiliated clinicians

Practitioners 6

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649348764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8077",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-443-7400",
            "fax_number": "252-443-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 SUNSET AVENUE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-443-7400",
            "fax_number": "252-443-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "252-443-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, 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.
  • 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.