Organization Active NPI

Cape Fear Valley Chiropractic Group, PC

  • Chiropractor
  • Fayetteville, NC
National Provider Identifier
1801185707
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
800 Issued in NC
Legal business name
CAPE FEAR VALLEY CHIROPRACTIC GROUP, PC
Practice address
4624 Pine Needle CT
Fayetteville, NC 28314-2463
Phone
(910) 476-2225
Fax
(206) 426-6337
NPI assigned
Mar 31, 2011
Last updated
Mar 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Dr. Baxter W Paschal, DC
Title
Owner
Phone
(910) 476-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 800 NC Primary

Addresses

Primary practice location

4624 Pine Needle CT
Fayetteville, NC 28314-2463

Mailing address

4624 Pine Needle CT
4624 Pine Needle CT.
Fayetteville, NC 28314-2463
Phone (910) 476-2225

Other identifiers 1

IdentifierTypeStateIssuer
1922303817OtherNCNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1801185707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 PINE NEEDLE CT",
            "address_2": "4624 PINE NEEDLE CT.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142463",
            "telephone_number": "910-476-2225",
            "fax_number": "206-426-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 PINE NEEDLE CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142463",
            "telephone_number": "910-476-2225",
            "fax_number": "206-426-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR VALLEY CHIROPRACTIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "PASCHAL",
        "authorized_official_first_name": "BAXTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-476-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922303817",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.