Organization Active NPI

Triangle Chiropractic and Rehabilitation Center

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1730593500
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4248 Issued in NC
Legal business name
TRIANGLE CHIROPRACTIC AND REHABILITATION CENTER
Practice address
2011 Falls Valley Dr Ste 102
Raleigh, NC 27615-3452
Phone
(919) 792-8682
NPI assigned
Jun 19, 2014
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Dr. Lindsay S Mumma, DCNPI 1942584859
Title
Owner
Phone
(919) 792-8682

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 4248 NC Primary

Addresses

Primary practice location

2011 Falls Valley Dr Ste 102
Raleigh, NC 27615-3452

Mailing address

2011 Falls Valley Dr Ste 102
Raleigh, NC 27615-3452
Phone (919) 792-8682

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140821000687 NC Part B Supplier - Clinic/Group Practice 8820216518 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

2011 Falls Valley Dr
Ste 102
Raleigh, NC 27615
Phone (919) 792-8682

6060 Six Forks Rd
Ste A
Raleigh, NC 27609

Practitioners & affiliated clinicians

Practitioners 2

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": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1730593500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 FALLS VALLEY DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153452",
            "telephone_number": "919-792-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 FALLS VALLEY DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153452",
            "telephone_number": "919-792-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE CHIROPRACTIC AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "MUMMA",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-792-8682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.