Active NPI
Chirocare of Goldsboro
- Chiropractor
- Goldsboro, NC
National Provider Identifier
1801970108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2981
- Legal business name
- CHIROCARE OF GOLDSBORO
- Practice address
- 1707 Wayne Memorial Dr
Suite B
Goldsboro, NC 27534-2239 - Phone
- (919) 735-1004
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vicky B Le, BS
- Title
- Manager
- Phone
- (919) 735-1004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2981 | NC | Primary |
Addresses
Primary practice location
1707 Wayne Memorial Dr
Suite B
Goldsboro, NC 27534-2239
Mailing address
1707 Wayne Memorial Dr
Suite B
Goldsboro, NC 27534-2239
Phone (919) 735-1004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085EK | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1707 Wayne Memorial Dr
#B
Goldsboro, NC 27534
Phone (919) 735-1004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Goldsboro, NC
- NPI 1265520720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801970108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 WAYNE MEMORIAL DR",
"address_2": "SUITE B",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275342239",
"telephone_number": "919-735-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 WAYNE MEMORIAL DR",
"address_2": "SUITE B",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275342239",
"telephone_number": "919-735-1004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROCARE OF GOLDSBORO",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "VICKY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "919-735-1004",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "2981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085EK",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.