Individual provider Active NPI

Christopher Joseph Harris, D.C., B.S.

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1821320078
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4060 Issued in NC
Practice address
205 S Stratford Rd
Suite L
Winston Salem, NC 27103-1871
Phone
(336) 293-8931
Fax
(336) 293-8152
NPI assigned
Feb 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4060 NC Primary

Addresses

Primary practice location

205 S Stratford Rd
Suite L
Winston Salem, NC 27103-1871

Mailing address

3822 Oleander Dr
Wilmington, NC 28403-6715
Phone (336) 293-8931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000541 NC Practitioner - Chiropractic 7113053992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3822 Oleander Dr
Wilmington, NC 28403-6715
Phone (910) 392-8896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
4060NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quint Chiropractic Inc Chiropractor CurrentSince Aug 23, 2016 Accepting new patients
Graybar-Clinton, Inc Chiropractor PastSince Oct 23, 2007 Accepting new patients
Brittian Chiropractic Center, PLLC Chiropractor Past Accepting new patients

Locations

3822 Oleander Dr
Wilmington, NC 28403
Phone (910) 313-3275

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1821320078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036715",
            "telephone_number": "336-293-8931",
            "fax_number": "336-293-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S STRATFORD RD",
            "address_2": "SUITE L",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031871",
            "telephone_number": "336-293-8931",
            "fax_number": "336-293-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.