Organization Active NPI

Pass Family Chiropractic

  • Chiropractor
  • Greenville, NC
National Provider Identifier
1710300538
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4354 Issued in NC
Legal business name
PASS FAMILY CHIROPRACTIC
Practice address
2245 Stantonsburg Rd Ste B
Greenville, NC 27834-2868
Phone
(252) 751-3866
Fax
(252) 757-1000
NPI assigned
Jan 30, 2014
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Allison Smith PassNPI 1356764179
Title
Owner
Phone
(252) 751-3866

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 4354 NC Primary

Addresses

Primary practice location

2245 Stantonsburg Rd Ste B
Greenville, NC 27834-2868

Mailing address

P.O. Box 30774
Greenville, NC 27833
Phone (910) 734-4508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151027001977 NC Part B Supplier - Clinic/Group Practice 3678882909 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

2245 Stantonsburg Rd
Ste B
Greenville, NC 27834
Phone (252) 751-3866

2470 Emerald Pl
Ste A
Greenville, NC 27834
Phone (252) 215-9294

Practitioners & affiliated clinicians

Practitioners 1

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": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1710300538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30774",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27833",
            "telephone_number": "910-734-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 STANTONSBURG RD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342868",
            "telephone_number": "252-751-3866",
            "fax_number": "252-757-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "PASS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-751-3866"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.