Organization Active NPI

Elevate Chiropractic and Performance Therapy PLLC

  • Sports Physician Chiropractor
  • North Wilkesboro, NC
National Provider Identifier
1780456897
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
ELEVATE CHIROPRACTIC AND PERFORMANCE THERAPY PLLC
Practice address
114 Wilkesboro Ave
North Wilkesboro, NC 28659-4218
Phone
(336) 223-6058
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Dr. David Matthew Campbell, DC, CCSP, MSNPI 1982172615
Title
Owner/Operator
Phone
(704) 609-3029

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

114 Wilkesboro Ave
North Wilkesboro, NC 28659-4218

Mailing address

863 Nikanor Rd
West Jefferson, NC 28694-7266

National Provider Directory

National Provider Directory

Locations

114 Wilkesboro Ave
North Wilkesboro, NC 28659
Phone (336) 223-6058

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1780456897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 NIKANOR RD",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286947266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WILKESBORO AVE",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594218",
            "telephone_number": "336-223-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE CHIROPRACTIC AND PERFORMANCE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "704-609-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP, MS"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.