By the Beach Chiropractic Health Center P. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BY THE BEACH CHIROPRACTIC HEALTH CENTER P. C.

Practice address

6934 Beach Dr SW Ste 2
Ocean Isle Beach, NC 28469-5797

Phone

(910) 575-2225

Fax

(910) 575-2275

NPI assigned

Oct 6, 2019

Last updated

Oct 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Deluca-Stafford, DCNPI 1013340272

Title

President/Owner

Phone

(910) 575-2225

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Jennifer L Deluca-Stafford, DC

  • Chiropractor
  • Ocean Isle Beach, NC
  • NPI 1013340272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570320000000",
    "number": "1710528245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 BEACH DR SW STE 2",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695797",
            "telephone_number": "910-575-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 BEACH DR SW STE 2",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695797",
            "telephone_number": "910-575-2225",
            "fax_number": "910-575-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY THE BEACH CHIROPRACTIC HEALTH CENTER P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-06",
        "status": "A",
        "authorized_official_last_name": "DELUCA-STAFFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "910-575-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjendel@atmc.net",
            "affiliation": "N",
            "address_1": "6934 Beach Dr SW Ste 2",
            "city": "Ocean Isle Beach",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284695797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benchmark Physical Therapy of NC, LLC
• Daniel R. Blizzard, DO
• Sarah Kirsten Bohrer, M.D.
• Sandra Robertson Brown, LCSW
• Brunswick Care, LLC (Eric's Pharmacy)
• Gina Kay Cancilla
• Carolina Urology Clinic, PA
• Coastal Breeze Chiropractic
• Coastal Primary Care and Wellness, PLLC
• Crista Colaneri, ATC

• Chiropractor in Ocean Isle Beach, NC
• Providers in Ocean Isle Beach, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.