Active NPI
Cumberland Chiropractic North Inc
- Chiropractor
- Fayetteville, NC
National Provider Identifier
1659381945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2185
- Legal business name
- CUMBERLAND CHIROPRACTIC NORTH INC
- Doing business as
- Back & Neck Pain Clinic
- Practice address
- 3217 Ramsey St
Fayetteville, NC 28301-3183 - Phone
- (910) 488-4477
- Fax
- (910) 488-3577
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mehmet Ali Ergun, DC
- Title
- Chiropractor President
- Phone
- (910) 488-4477
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2185 | NC | Primary |
Addresses
Primary practice location
3217 Ramsey St
Fayetteville, NC 28301-3183
Mailing address
PO Box 9280
Fayetteville, NC 28311-9083
Phone (910) 488-4477
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0843P | Other | NC | BCBS |
| 4313519 | Other | CSI | |
| 5167042 | Other | AETNA | |
| 609654 | Other | ACN | |
| 890109M | Medicaid | NC |
Other names 1
- Back & Neck Pain Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3217 Ramsey St
Fayetteville, NC 28301
Phone (910) 488-4477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fayetteville, NC
- NPI 1679583967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1659381945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9280",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119083",
"telephone_number": "910-488-4477",
"fax_number": "910-488-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013183",
"telephone_number": "910-488-4477",
"fax_number": "910-488-3577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND CHIROPRACTIC NORTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ERGUN",
"authorized_official_first_name": "MEHMET",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "CHIROPRACTOR PRESIDENT",
"authorized_official_telephone_number": "910-488-4477",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "2185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0843P",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSI",
"identifier": "4313519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5167042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "609654",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890109M",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Back & Neck Pain Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
- Cumberland Anesthesia Associates P a
- Cumberland Behavioral Health and Crisis Services
- Cumberland Behavioral Health and Crisis Services LLC
- Cumberland Cardiology, P.a.
- Cumberland Care, Inc.
- Cumberland Co. Hospital System Inc
- Cumberland County Communicare, Inc
- Cumberland County Communicare, Inc
- Cumberland County Communicare, Inc.
- Cumberland County Coordinating Council on Older Adults, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.