Individual provider Active NPI

James Bolton, D.C., M.S.

  • Chiropractor
  • Wilson, NC
National Provider Identifier
1790017564
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3974 Issued in NC
Practice address
2801 Ward Blvd
Ste 7a
Wilson, NC 27893-1752
Phone
(563) 505-6464
NPI assigned
Feb 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3974 NC Primary

Addresses

Primary practice location

2801 Ward Blvd
Ste 7a
Wilson, NC 27893-1752

Mailing address

PO Box 9060
Wilson, NC 27895-9060
Phone (563) 505-6464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000154 NC Practitioner - Chiropractic 4486833365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2801 Ward Blvd
Suite 7a
Wilson, NC 27893-1752
Phone (252) 315-8488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3974NCMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bolton Enterprises I PLLC Chiropractor CurrentSince Nov 11, 2010 Accepting new patients

Locations

2801 Ward Blvd
Ste 7A
Wilson, NC 27893
Phone (252) 315-8488

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1790017564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9060",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278959060",
            "telephone_number": "563-505-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WARD BLVD",
            "address_2": "STE 7A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931752",
            "telephone_number": "563-505-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.