Organization Active NPI

Healthsource of Leland, PLLC

  • Chiropractor
  • Leland, NC
National Provider Identifier
1831478494
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3364 Issued in NC
Legal business name
HEALTHSOURCE OF LELAND, PLLC
Practice address
2013 Olde Regent Way Ste 130
Leland, NC 28451-7285
Phone
(910) 538-5507
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Jason Minsky, D.C.NPI 1972673283
Title
Owner/Doctor
Phone
(910) 392-5851

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 3364 NC Primary

Addresses

Primary practice location

2013 Olde Regent Way Ste 130
Leland, NC 28451-7285

Mailing address

2013 Olde Regent Way Ste 130
Leland, NC 28451-7285
Phone (910) 538-5507

National Provider Directory

National Provider Directory

Locations

2013 Olde Regent Way
Ste 130
Leland, NC 28451
Phone (910) 371-2212

Practitioners & affiliated clinicians

Practitioners 4

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": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1831478494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 OLDE REGENT WAY STE 130",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517285",
            "telephone_number": "910-538-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 OLDE REGENT WAY STE 130",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517285",
            "telephone_number": "910-538-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF LELAND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "MINSKY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "910-392-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.