Organization Active NPI

Carolina Family Chiropractic PA

  • Chiropractor
  • Fayetteville, NC
National Provider Identifier
1801871652
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2888 Issued in NC
Legal business name
CAROLINA FAMILY CHIROPRACTIC PA
Practice address
6415 Brookstone LN
Ste 102
Fayetteville, NC 28314-9998
Phone
(910) 867-1612
Fax
(910) 867-2129
NPI assigned
Dec 14, 2005
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Richard Martin Kuhns III, DCNPI 1396817177
Title
Owner/Doctor
Phone
(910) 867-1612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2888 NC Primary

Addresses

Primary practice location

6415 Brookstone LN
Ste 102
Fayetteville, NC 28314-9998

Mailing address

6415 Brookstone LN
Ste 102
Fayetteville, NC 28314-0074
Phone (910) 867-1612

Other identifiers 1

IdentifierTypeStateIssuer
890848YMedicaidNC

National Provider Directory

National Provider Directory

Locations

5945 Cliffdale Rd
Ste 1112
Fayetteville, NC 28314
Phone (910) 263-8054

6415 Brookstone Ln
Ste 102
Fayetteville, NC 28314
Phone (910) 867-1612

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1801871652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 BROOKSTONE LN",
            "address_2": "STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140074",
            "telephone_number": "910-867-1612",
            "fax_number": "910-867-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 BROOKSTONE LN",
            "address_2": "STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283149998",
            "telephone_number": "910-867-1612",
            "fax_number": "910-867-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "KUHNS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "910-867-1612",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890848Y",
            "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 Feb 23, 2015; 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.