Individual provider Active NPI

Tracey Lynne Buckingham, D.C.

  • Chiropractor
  • Huntersville, NC
National Provider Identifier
1801099262
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3472 Issued in NC
Practice address
8656 Brook Glen LN
Huntersville, NC 28078-2743
Phone
(714) 390-2432
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3472 NC Primary
Chiropractor 111N00000X 28368 CA

Addresses

Primary practice location

8656 Brook Glen LN
Huntersville, NC 28078-2743

Mailing address

108 Newbold St
Lincolnton, NC 28092-3906
Phone (704) 735-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3472NCMDGeneral Practice Dentistry
28368CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Chiropractic, PC Chiropractor CurrentSince Jun 11, 2023 Accepting new patients

Locations

108 Newbold St
Lincolnton, NC 28092
Phone (704) 735-8226

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1801099262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NEWBOLD ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923906",
            "telephone_number": "704-735-8226",
            "fax_number": "704-735-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8656 BROOK GLEN LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782743",
            "telephone_number": "714-390-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "TRACEY",
        "middle_name": "LYNNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3472",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.