Organization Active NPI

Rek LTD

  • Chiropractor
  • Hickory, NC
National Provider Identifier
1831268994
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
804 Issued in NC
Legal business name
REK LTD
Practice address
912 3Rd Ave NW
Hickory, NC 28601-4849
Phone
(828) 328-2551
Fax
(828) 328-2955
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Dr. C. Thomas Russell, D.C.NPI 1154346310
Title
Chiropractor
Phone
(828) 328-2551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 804 NC Primary

Addresses

Primary practice location

912 3Rd Ave NW
Hickory, NC 28601-4849

Mailing address

912 3Rd Ave NW
Hickory, NC 28601-4849
Phone (828) 328-2551

Other identifiers 3

IdentifierTypeStateIssuer
8908779MedicaidNC
08779OtherNCBCBS OF NC
01941OtherNCCNC

Other names 1

  • Russell Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000948 NC Part B Supplier - Clinic/Group Practice 5193879971 Receives reassigned benefits from 1 practitioner
Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Locations

912 3rd Ave NW
Hickory, NC 28601
Phone (828) 328-2551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1831268994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014849",
            "telephone_number": "828-328-2551",
            "fax_number": "828-328-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014849",
            "telephone_number": "828-328-2551",
            "fax_number": "828-328-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "C. THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "828-328-2551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908779",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "08779",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "01941",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.