Individual provider Active NPI

Christopher Buccieri, DC

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1649707258
Registry record updated May 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4701 Issued in NC
Practice address
5900 Oleander Dr
Ste B
Wilmington, NC 28403-4718
Phone
(910) 408-2204
NPI assigned
May 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4701 NC Primary

Addresses

Primary practice location

5900 Oleander Dr
Ste B
Wilmington, NC 28403-4718

Mailing address

5900 Oleander Dr
Wilmington, NC 28403
Phone (910) 408-2204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170616001524 NC Practitioner - Chiropractic 9335417286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5900 Oleander Dr
Suite B
Wilmington, NC 28403-4718
Phone (910) 408-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4701NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Family Chiropractic Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Pinnacle Family Chiropractic PLLC Chiropractor CurrentSince Apr 14, 2017 Accepting new patients

Locations

5900 Oleander Dr
#B
Wilmington, NC 28403
Phone (910) 408-2204

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494720000000",
    "number": "1649707258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-408-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 OLEANDER DR",
            "address_2": "STE B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034718",
            "telephone_number": "910-408-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCIERI",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.