Individual provider Active NPI

Christopher Michael Sullivan, DC

  • Chiropractor
  • Cary, NC
National Provider Identifier
1770761652
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4792 Issued in NC
Practice address
130 Iowa LN Ste 102
Cary, NC 27511-2401
Phone
(814) 241-9519
NPI assigned
Feb 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009904 PA
Chiropractor 111N00000X 4792 NC Primary

Addresses

Primary practice location

130 Iowa LN Ste 102
Cary, NC 27511-2401

Mailing address

130 Iowa LN Ste 102
Cary, NC 27511-2401
Phone (814) 241-9519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611000038 NC Practitioner - Chiropractic 9537243720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Iowa LN
Suite 102
Cary, NC 27511-2401
Phone (919) 747-7933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4792NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan Chiropractic PLLC Chiropractor CurrentSince Jun 1, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Synergy Chiropractic of Johnstown PC Chiropractor Past Accepting new patients

Locations

130 Iowa Ln
Ste 102
Cary, NC 27511
Phone (919) 585-5085

1125 Kildaire Farm Rd
Ste 101
Cary, NC 27511
Phone (919) 467-7797

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1770761652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 IOWA LN STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112401",
            "telephone_number": "814-241-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 IOWA LN STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112401",
            "telephone_number": "814-241-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009904",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.