Organization Active NPI

Sharp Chiropractic, PC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1699720219
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
19279 Issued in NC
Legal business name
SHARP CHIROPRACTIC, PC
Practice address
4622 Country Club Rd.
Ste. 140
Winston Salem, NC 27104-4616
Phone
(336) 768-7227
Fax
(336) 768-3802
NPI assigned
May 23, 2006
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Kevin Mark Sharp, DCNPI 1568458057
Title
President
Phone
(336) 768-7227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 19279 NC Primary

Addresses

Primary practice location

4622 Country Club Rd.
Ste. 140
Winston Salem, NC 27104-4616

Mailing address

4622 Country Club Rd.
140
Winston Salem, NC 27104-4616
Phone (336) 768-7227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000068 NC Part B Supplier - Clinic/Group Practice 0042389603 Receives reassigned benefits from 2 practitioners
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1699720219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 COUNTRY CLUB RD.",
            "address_2": "140",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044616",
            "telephone_number": "336-768-7227",
            "fax_number": "336-768-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 COUNTRY CLUB RD.",
            "address_2": "STE. 140",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044616",
            "telephone_number": "336-768-7227",
            "fax_number": "336-768-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-768-7227",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "19279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.