Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3209 Issued in NC

Legal business name

FAMILY CHIROPRACTIC PC

Practice address

1240 School St
Wilkesboro, NC 28697-2625

Phone

(336) 838-8842

Fax

(336) 838-5387

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James Roger Nieland, DCNPI 1912098062

Title

Chiropractic Physician

Phone

(336) 838-8842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: jim@nc0023.direct.chirotouch.md

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Roger Nieland, D.C.

  • Chiropractor
  • Wilkesboro, NC
  • NPI 1912098062

  NC

  Medicare reassignment Care Compare group Authorized official
• Juan Reyes, DC

  • Chiropractor
  • Wilkesboro, NC
  • NPI 1235931957
  Medicare reassignment Care Compare group NPD
• Walter Clyde Holloway, DC

  • Chiropractor
  • Wilkesboro, NC
  • NPI 1952480246
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1689058554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SCHOOL ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972625",
            "telephone_number": "336-838-8842",
            "fax_number": "844-905-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SCHOOL ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972625",
            "telephone_number": "336-838-8842",
            "fax_number": "336-838-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "NIELAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "336-838-8842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Goodman Edwards, M. A. CCC-SLP
• Rachael Michelle Everett, LCSWA
• Sharon Watkins Everidge, LPTA
• Erica Falls, LCSWA
• Lorenz Vassa Falls
• Fathom Counseling, PLLC
• Ashton Blake Fioravanti, D.D.S
• Kimberly Eldridge Forester, LPC
• Anna Foster, MS, OTR/L
• Kenneth Russell Foster, M.A./ED.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.

Verify at the official NPI Registry.