NPIMap

Organization Active NPI

Carolina Chiropractic Plus of Rutherford County Inc.

  • Chiropractor
  • Forest City, NC
National Provider Identifier
1689770133
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAROLINA CHIROPRACTIC PLUS OF RUTHERFORD COUNTY INC.
Practice address
152 West Main St
Forest City, NC 28043
Phone
(828) 245-0202
Fax
(828) 245-0422
NPI assigned
Sep 15, 2006
Last updated
Jul 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Mrs. Sarah R Memson, DC
Title
Owner
Phone
(828) 245-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

152 West Main St
Forest City, NC 28043

Mailing address

152 West Main St.
Forest City, NC 28043
Phone (828) 245-0202

Other identifiers 3

IdentifierTypeStateIssuer
0829XOtherNCBLUE CROSS BLUE SHIELD
890114EMedicaidNC
890829XMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000740 NC Part B Supplier - Clinic/Group Practice 9133160427 Receives reassigned benefits from 9 practitioners
Practice locations: Forest City, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1689770133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 WEST MAIN ST.",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "28043",
            "telephone_number": "828-245-0202",
            "fax_number": "828-245-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WEST MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "28043",
            "telephone_number": "828-245-0202",
            "fax_number": "828-245-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHIROPRACTIC PLUS OF RUTHERFORD COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "MEMSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-245-0202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0829X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890114E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890829X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.