Active NPI
Robert Frank Nagy, D.C.
- Chiropractor
- Wilmington, NC
National Provider Identifier
1710050901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE006259
- Practice address
- 8812 Sedgley Dr
Wilmington, NC 28412-3355 - Phone
- (573) 225-8587
- NPI assigned
- Nov 16, 2006
- Last updated
- Sep 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CE006259 | MO | Primary |
Addresses
Primary practice location
8812 Sedgley Dr
Wilmington, NC 28412-3355
Mailing address
8812 Sedgley Dr
Wilmington, NC 28412-3355
Phone (573) 225-8587
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6568 | Other | MO | BLUE CROSS AND BLUE SHIEL |
| 350040368 | Other | MO | RAILROAD MEDICARE |
| 759989908 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE006259 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peters Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Cape Girardeau, MO
- NPI 1598918195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1710050901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8812 SEDGLEY DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123355",
"telephone_number": "573-225-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8812 SEDGLEY DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123355",
"telephone_number": "573-225-8587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGY",
"first_name": "ROBERT",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "CE006259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "6568",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350040368",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "759989908",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.