NPIMap

Organization Active NPI

Pinehurst Alternative Medicine

  • Chiropractor
  • Pinehurst, NC
National Provider Identifier
1801648613
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PINEHURST ALTERNATIVE MEDICINE
Practice address
300 Kelly Rd Ste B
Pinehurst, NC 28374-8276
Phone
(910) 585-1971
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Gerard Graves, DC
Title
Owner
Phone
(910) 585-1971

Specialties & licenses 1

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

Addresses

Primary practice location

300 Kelly Rd Ste B
Pinehurst, NC 28374-8276

Mailing address

300 Kelly Rd Ste B
Pinehurst, NC 28374-8276
Phone (910) 585-1971

Other names 1

  • Pinehurst Alternative Medicine Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1801648613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KELLY RD STE B",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748276",
            "telephone_number": "910-585-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KELLY RD STE B",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748276",
            "telephone_number": "910-585-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST ALTERNATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-585-1971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinehurst Alternative Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Pinehurst Alternative Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.