Organization Active NPI

Kirk & Sandra Childers University Chiropractic

  • Chiropractor
  • Durham, NC
National Provider Identifier
1740492941
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2390 Issued in NC
Legal business name
KIRK & SANDRA CHILDERS UNIVERSITY CHIROPRACTIC
Practice address
4015 University Dr
Suite K
Durham, NC 27707-2548
Phone
(919) 493-1940
Fax
(919) 493-5717
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Dr. Kirk A Childers, D,C.
Title
Chiropractor
Phone
(919) 493-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2390 NC Primary

Addresses

Primary practice location

4015 University Dr
Suite K
Durham, NC 27707-2548

Mailing address

4015 University Dr
Suite K
Durham, NC 27707-2548
Phone (919) 493-1940

Other identifiers 1

IdentifierTypeStateIssuer
890820WMedicaidNC

National Provider Directory

National Provider Directory

Locations

4015 University Dr
Ste K
Durham, NC 27707
Phone (919) 493-1940

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1740492941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 UNIVERSITY DR",
            "address_2": "SUITE K",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072548",
            "telephone_number": "919-493-1940",
            "fax_number": "919-493-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 UNIVERSITY DR",
            "address_2": "SUITE K",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072548",
            "telephone_number": "919-493-1940",
            "fax_number": "919-493-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK & SANDRA CHILDERS UNIVERSITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "919-493-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890820W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.