Carolina Head and Spine Clinic of Chiropractic,PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

200002586073 Issued in NC

Legal business name

CAROLINA HEAD AND SPINE CLINIC OF CHIROPRACTIC,PA

Practice address

3001 Academy Road
Suite 230
Durham, NC 27707

Phone

(919) 246-9497

Fax

(919) 403-2917

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

James Richard Saeli, DCNPI 1225116544

Title

Owner

Phone

(919) 246-9497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• James Richard Saeli, DC

  • Chiropractor
  • Elkin, NC
  • NPI 1225116544
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1831573112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ACADEMY ROAD",
            "address_2": "SUITE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-246-9497",
            "fax_number": "919-403-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ACADEMY ROAD",
            "address_2": "SUITE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-246-9497",
            "fax_number": "919-403-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEAD AND SPINE CLINIC OF CHIROPRACTIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "SAELI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-246-9497",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "200002586073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Diagnostics Inc
• Carolina Diagnostics, Inc.
• Carolina ENT, PLLC
• Carolina Eye Clinic PLLC
• Carolina Foot Specialists
• Carolina Headache Institute, PA
• Carolina Health Clinic
• Carolina Health Medical Transportation LLC
• Carolina Outreach
• Carolina Outreach, LLC

• Chiropractor in Durham, NC
• Providers in Durham, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.