Coastal Radiology Consultants, PA

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

2160 Issued in NC

Legal business name

COASTAL RADIOLOGY CONSULTANTS, PA

Practice address

851 Durham Rd
Suite a
Wake Forest, NC 27587

Phone

(919) 562-6570

Fax

(919) 562-6572

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kathy J Thorn, D.C., D.A.C.B.R.NPI 1659357895

Title

Owner

Phone

(919) 562-6570

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Thorn, D.C., D.A.C.B.R.

  • Radiology Chiropractor
  • Wake Forest, NC
  • NPI 1659357895
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740389170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 A DURHAM ROAD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-562-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 DURHAM RD",
            "address_2": "SUITE A",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-562-6570",
            "fax_number": "919-562-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL RADIOLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-562-6570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.C.B.R."
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "NC",
            "license": "2160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908817",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Clements, DPT
• Clemons Resiliency & Wellness PLLC
• Matthew Antoinne Clemons, NP
• Heather D. R. Clevinger, LCSW
• Kiersten Clounie, MA, CCC-SLP
• Emily Rebecca Cochran
• Xenia Codreanu
• Lana Horton Coffer, M.ED.,CCC-SLP
• Cognitive Rehabilitation Services
• Shani L Cohen

• Radiology Chiropractor in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Radiology Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.