NPIMap

Organization Active NPI

Carolina Neck & Back Chiropractic PA

  • Chiropractor
  • Smithfield, NC
National Provider Identifier
1669635934
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2505 Issued in NC
Legal business name
CAROLINA NECK & BACK CHIROPRACTIC PA
Practice address
612 S Brightleaf Blvd
Smithfield, NC 27577-4446
Phone
(919) 934-2247
Fax
(919) 934-2247
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Dr. David Ethan Schwartz, D.C
Title
Owner
Phone
(919) 934-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2505 NC Primary

Addresses

Primary practice location

612 S Brightleaf Blvd
Smithfield, NC 27577-4446

Mailing address

612 S Brightleaf Blvd
PO Box 60
Smithfield, NC 27577-4446
Phone (919) 934-2247

Other identifiers 3

IdentifierTypeStateIssuer
U72004OtherUPIN
890833FMedicaidNC
0833FOtherNCBCBS/NC

National Provider Directory

National Provider Directory

Locations

612 S Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-2247

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1669635934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S BRIGHTLEAF BLVD",
            "address_2": "PO BOX 60",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774446",
            "telephone_number": "919-934-2247",
            "fax_number": "919-934-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774446",
            "telephone_number": "919-934-2247",
            "fax_number": "919-934-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NECK & BACK CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-934-2247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U72004",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890833F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/NC",
            "identifier": "0833F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.