Active NPI
Rek LTD
- Chiropractor
- Hickory, NC
National Provider Identifier
1831268994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 804
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908779 | Medicaid | NC | |
| 08779 | Other | NC | BCBS OF NC |
| 01941 | Other | NC | CNC |
Other names 1
- Russell Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Hickory, NC
- NPI 1154346310
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.