Organization Active NPI

Clifford Arthur Nickel PC

Doing business as Union Cross Chiropractic

  • Chiropractor
  • Kernersville, NC
National Provider Identifier
1700955952
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1302 Issued in NC
Legal business name
CLIFFORD ARTHUR NICKEL PC
Doing business as
Union Cross Chiropractic
Practice address
1522 Teague LN
Kernersville, NC 27284-7521
Phone
(336) 996-3600
Fax
(336) 993-7454
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Clifford Arthur Nickel, DC
Title
President
Phone
(336) 996-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1302 NC Primary

Addresses

Primary practice location

1522 Teague LN
Kernersville, NC 27284-7521

Mailing address

1522 Teague LN
Kernersville, NC 27284-7521
Phone (336) 996-3600

Other identifiers 1

IdentifierTypeStateIssuer
8908668MedicaidNC

Other names 1

  • Union Cross Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1700955952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 TEAGUE LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847521",
            "telephone_number": "336-996-3600",
            "fax_number": "336-993-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 TEAGUE LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847521",
            "telephone_number": "336-996-3600",
            "fax_number": "336-993-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD ARTHUR NICKEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "NICKEL",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-996-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908668",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Cross Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

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