Organization Active NPI

Comprehensive Chiropractic Center, P.a.

  • Sports Physician Chiropractor
  • Cary, NC
National Provider Identifier
1669578332
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1714 Issued in NC
Legal business name
COMPREHENSIVE CHIROPRACTIC CENTER, P.A.
Practice address
1125 Kildaire Farm Rd
Cary, NC 27511-4566
Phone
(919) 467-7797
Fax
(919) 467-9272
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Ira Asher Rubin, D.C.
Title
Owner/President
Phone
(919) 467-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1714 NC Primary

Addresses

Primary practice location

1125 Kildaire Farm Rd
Cary, NC 27511-4566

Mailing address

1125 Kildaire Farm Rd
Cary, NC 27511-4566
Phone (919) 467-7797

Other identifiers 3

IdentifierTypeStateIssuer
890195MMedicaidNC
1982645552OtherNCINDIVIDUAL TYPE 1 NPI #
7908541MedicaidNC

Other names 1

  • CHIROPRACTIC PARTNERS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1669578332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114566",
            "telephone_number": "919-467-7797",
            "fax_number": "919-467-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114566",
            "telephone_number": "919-467-7797",
            "fax_number": "919-467-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "ASHER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-467-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "1714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890195M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL TYPE 1 NPI #",
            "identifier": "1982645552",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908541",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIROPRACTIC PARTNERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.