Active NPI
Adaguzo O Suter, D.C.
- Chiropractor
- Hampstead, NC
National Provider Identifier
1730631052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4640
- Practice address
- 14886 US Highway 17 N
Hampstead, NC 28443-3217 - Phone
- (910) 406-1200
- Fax
- (910) 406-1201
- NPI assigned
- Nov 3, 2016
- Last updated
- May 25, 2021
- Sex
- Female
- 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 | 4640 | NC | Primary |
Addresses
Primary practice location
14886 US Highway 17 N
Hampstead, NC 28443-3217
Mailing address
14886 US Highway 17 N
Hampstead, NC 28443-3217
Phone (910) 406-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639627367 | Other | NC | UNKNOWN |
Other names 1
- Dr. Adaguzo O Aniniba
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170227001915 | NC | Practitioner - Chiropractic | 6103100706 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4640 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innate Health Family Chiropractic & Wellness | Chiropractor | Current | Accepting new patients |
Locations
14886 US Highway 17
Hampstead, NC 28443
Phone (910) 406-1200
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
- Hampstead, NC
- NPI 1639627367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1730631052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14886 US HIGHWAY 17 N",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433217",
"telephone_number": "910-406-1200",
"fax_number": "910-406-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14886 US HIGHWAY 17 N",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433217",
"telephone_number": "910-406-1200",
"fax_number": "910-406-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTER",
"first_name": "ADAGUZO",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-03",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNKNOWN",
"identifier": "1639627367",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADAGUZO",
"last_name": "ANINIBA",
"middle_name": "O",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hampstead, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.