Whitekettle Chiropractic Services, PLLC
Organization Active NPI Chiropractor · Sneads Ferry, NC
NPI 1649599481 · NPPES record last updated Apr 29, 2015
Key facts
- NPI
- 1649599481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3101 (NC)
- Legal business name
- WHITEKETTLE CHIROPRACTIC SERVICES, PLLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Brett Whitekettle, D.C.
- Title
- Owner
- Phone
- (910) 327-0022
Practitioners 3
-
Brianna Bingerman, LMBT
-
Carmody Bowman, LMBT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100609000674 | NC | Part B Supplier - Clinic/Group Practice | 7113057688 |
Receives reassigned benefits from 1 practitioner Practice locations: Sneads Ferry, NC |
National Provider Directory
Locations
200 Cape Fear Cir
Ste 2
Sneads Ferry, NC 28460
Phone (910) 327-0022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3101 | NC | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085J3 | Medicaid | NC | |
| 2455466 | Other | NC | MEDICARE PROVIDER NUMBER |
Other names
- Whitekettle Chiropractic
Other providers in Sneads Ferry, NC
- Pete Alfonso Walker
- H. Mac Wallace
- Wellspring Center PLLC
- Bailee Rhea West
- Amy Christine Whaling
- Brett E Whitekettle
- Wilmington Medical Group PA
- Jillian Elizabeth Wisniewski
- Shanice Worsley
- Susan Bell York
All providers in Sneads Ferry, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.