Organization Active NPI

Columbus Family Chiropractic Center PC

  • Chiropractor
  • Chadbourn, NC
National Provider Identifier
1730451204
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COLUMBUS FAMILY CHIROPRACTIC CENTER PC
Practice address
5754 Chadbourn Hwy
Chadbourn, NC 28431-8434
Phone
(910) 654-3581
Fax
(910) 654-4999
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. William Ernest Prease, D.C.NPI 1417922899
Title
President
Phone
(910) 654-3581

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5754 Chadbourn Hwy
Chadbourn, NC 28431-8434

Mailing address

5754 Chadbourn Hwy
Chadbourn, NC 28431-8434
Phone (910) 654-3581

Other identifiers 1

IdentifierTypeStateIssuer
890844WMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000919 NC Part B Supplier - Clinic/Group Practice 2264692946 Receives reassigned benefits from 1 practitioner
Practice locations: Chadbourn, NC

National Provider Directory

National Provider Directory

Locations

5754 Chadbourn Hwy
Chadbourn, NC 28431
Phone (910) 654-3581

Practitioners & affiliated clinicians

Practitioners 2

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": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1730451204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5754 CHADBOURN HWY",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284318434",
            "telephone_number": "910-654-3581",
            "fax_number": "910-654-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5754 CHADBOURN HWY",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284318434",
            "telephone_number": "910-654-3581",
            "fax_number": "910-654-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS FAMILY CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "PREASE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-654-3581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890844W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadbourn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.