NPIMap

Organization Active NPI

Advanced Health and Chiropractic Center, PLLC

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1710002159
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2900 Issued in NC
Legal business name
ADVANCED HEALTH AND CHIROPRACTIC CENTER, PLLC
Practice address
191A W Plaza Dr
Mooresville, NC 28117
Phone
(704) 664-4000
Fax
(704) 660-5251
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Mr. Ryan Scott Robinson, DCNPI 1083600373
Title
Owner Provider
Phone
(704) 664-4000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2900 NC Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 17659 NC

Addresses

Primary practice location

191A W Plaza Dr
Mooresville, NC 28117

Mailing address

191A W Plaza Dr
Mooresville, NC 28117-6806
Phone (704) 664-4000

Other identifiers 1

IdentifierTypeStateIssuer
5908609MedicaidNC

Other names 1

  • Chiropractic Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080312000025 NC Part B Supplier - Clinic/Group Practice 4789769936 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1710002159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191A W PLAZA DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176806",
            "telephone_number": "704-664-4000",
            "fax_number": "704-660-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191A W PLAZA DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-664-4000",
            "fax_number": "704-660-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH AND CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "704-664-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2900",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "17659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908609",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Chiropractic Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.