NPIMap

Organization Active NPI

Whitekettle Chiropractic Services, PLLC

Doing business as Whitekettle Chiropractic

  • Chiropractor
  • Sneads Ferry, NC
National Provider Identifier
1649599481
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3101 Issued in NC
Legal business name
WHITEKETTLE CHIROPRACTIC SERVICES, PLLC
Doing business as
Whitekettle Chiropractic
Practice address
200 Cape Fear Cir
Suite 2
Sneads Ferry, NC 28460-9191
Phone
(910) 327-0022
Fax
(910) 327-0337
NPI assigned
May 19, 2010
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Dr. Brett Whitekettle, D.C.NPI 1336103399
Title
Owner
Phone
(910) 327-0022

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3101 NC Primary

Addresses

Primary practice location

200 Cape Fear Cir
Suite 2
Sneads Ferry, NC 28460-9191

Mailing address

200 Cape Fear Cir
Suite 2
Sneads Ferry, NC 28460-9191
Phone (910) 327-0022

Other names 1

  • Whitekettle Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100609000674 NC Part B Supplier - Clinic/Group Practice 7113057688 Receives reassigned benefits from 1 practitioner
Practice locations: Sneads Ferry, NC

National Provider Directory

National Provider Directory

Locations

200 Cape Fear Cir
Ste 2
Sneads Ferry, NC 28460
Phone (910) 327-0022

Practitioners & affiliated clinicians

Practitioners 3

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": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1649599481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CAPE FEAR CIR",
            "address_2": "SUITE 2",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609191",
            "telephone_number": "910-327-0022",
            "fax_number": "910-327-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAPE FEAR CIR",
            "address_2": "SUITE 2",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609191",
            "telephone_number": "910-327-0022",
            "fax_number": "910-327-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEKETTLE CHIROPRACTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "WHITEKETTLE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-327-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitekettle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sneads Ferry, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.