Innate Chiropractic Group, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2499 Issued in NC

Legal business name

INNATE CHIROPRACTIC GROUP, INC.

Practice address

1009 S Van Buren Rd
Eden, NC 27288-5343

Phone

(336) 623-6100

Fax

(336) 623-5100

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey B Fulp

Title

Office MGR.

Phone

(336) 623-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rockingham Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1679670004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S. VAN BUREN ROAD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885343",
            "telephone_number": "336-623-6100",
            "fax_number": "336-623-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S VAN BUREN RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885343",
            "telephone_number": "336-623-6100",
            "fax_number": "336-623-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE CHIROPRACTIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "FULP",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "336-623-6100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0831M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockingham Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Hudson, RPH
• Huffman Medical, Inc.
• Alexis Hugelmeyer, D.O.
• Susan Hughes, OT
• Estelle Cline Hung, M.D.
• Insook Smith, D.D.S., P.a.
• Integrated Therapies Center, PLLC
• J & K Transport and Delivery
• Donna Yates Jennings, PA-C
• John R. Dabbs Jr. DC PC

• All providers in Eden, NC
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.