NPIMap

Organization Active NPI

Family Wellness Chiropractic, PA

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1659533818
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2535 Issued in NC
Legal business name
FAMILY WELLNESS CHIROPRACTIC, PA
Practice address
4229 Louisburg Rd Ste 101
Raleigh, NC 27604-4345
Phone
(919) 872-1130
Fax
(919) 872-1125
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Mrs. Teresa Foster Hogan
Title
Office Manager
Phone
(919) 872-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2535 NC Primary

Addresses

Primary practice location

4229 Louisburg Rd Ste 101
Raleigh, NC 27604-4345

Mailing address

4229 Louisburg Rd Ste 101
Raleigh, NC 27604-4345
Phone (919) 872-1130

Other identifiers 1

IdentifierTypeStateIssuer
7908255MedicaidNC

National Provider Directory

National Provider Directory

Locations

4229 Louisburg Rd
Ste 101
Raleigh, NC 27604
Phone (919) 872-1130

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1659533818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LOUISBURG RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044345",
            "telephone_number": "919-872-1130",
            "fax_number": "919-872-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LOUISBURG RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044345",
            "telephone_number": "919-872-1130",
            "fax_number": "919-872-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-872-1130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908255",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.