Organization Active NPI

Plaza Family Chiropractic Center, P.a.

  • Chiropractor
  • Greenville, NC
National Provider Identifier
1811084049
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1963 Issued in NC
Legal business name
PLAZA FAMILY CHIROPRACTIC CENTER, P.A.
Practice address
303 Plaza Dr
Greenville, NC 27858-6716
Phone
(252) 756-6111
Fax
(252) 756-6904
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Thomas C. Schwartz, D.C.
Title
Owner/Doctor
Phone
(252) 756-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1963 NC Primary

Addresses

Primary practice location

303 Plaza Dr
Greenville, NC 27858-6716

Mailing address

303 Plaza Dr
Greenville, NC 27858-6716
Phone (252) 756-6111

Other identifiers 4

IdentifierTypeStateIssuer
890823FMedicaidNC
0823FOtherNCBCBS OF NC
1427015353OtherNCNPI # UNDER SSN
YTM279406OtherNCANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

303 Plaza Dr
Greenville, NC 27858
Phone (252) 756-6111

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1811084049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PLAZA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586716",
            "telephone_number": "252-756-6111",
            "fax_number": "252-756-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PLAZA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586716",
            "telephone_number": "252-756-6111",
            "fax_number": "252-756-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA FAMILY CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "252-756-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890823F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0823F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # UNDER SSN",
            "identifier": "1427015353",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "YTM279406",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.