Cherry Point Chiropractic & Rehabilitation Center PA
Organization Active NPI Chiropractor · Havelock, NC
NPI 1831149285 · NPPES record last updated May 2, 2016
Key facts
- NPI
- 1831149285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2801 (NC)
- Legal business name
- CHERRY POINT CHIROPRACTIC & REHABILITATION CENTER PA
- Practice address
- 318 E Main St
Havelock, NC 28532-2214 - Phone
- (252) 444-3377
- Fax
- (252) 444-3529
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Russell Kelso Davis, DC ATC
- Title
- President Ceo
- Phone
- (252) 444-3377
Practitioners 3
-
Russell Kelso Davis, D.C.
-
Christina Lynn Saracina, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100209000405 | NC | Part B Supplier - Clinic/Group Practice | 2062555345 |
Receives reassigned benefits from 1 practitioner Practice locations: Havelock, NC |
National Provider Directory
Locations
318 E Main St
Havelock, NC 28532
Phone (252) 444-3377
314 US Highway 70 W
Havelock, NC 28532
Phone (252) 447-0991
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2801 | NC | Yes |
Addresses
Primary practice location
318 E Main St
Havelock, NC 28532-2214
Mailing address
318 E Main St
Havelock, NC 28532-2214
Phone (252) 444-3377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890844V | Medicaid | NC | |
| 7167352 | Other | AETNA | |
| 0844V | Other | NC | BLUE CROSS BLUE SHIELD |
Other providers in Havelock, NC
- Carolina Orthopedic and Sports Medicine Inc
- Carolinaeast Physicians
- Carolinaeast Physicians
- Radonna Carroll
- Aimee Teresa Cellana
- City of Havelock
- Coastal Carolina Health Care, PA
- Coastal Childrens Clinic
- Coastal Friendly Pharmacy
- Gerald L Coates Jr.
All providers in Havelock, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.