NPIMap

Organization Active NPI

Yadkin Valley Comprehensive Health Center PC

  • Chiropractor
  • Elkin, NC
National Provider Identifier
1831696798
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4467 Issued in NC
Legal business name
YADKIN VALLEY COMPREHENSIVE HEALTH CENTER PC
Practice address
947 N Bridge St
Elkin, NC 28621-2403
Phone
(336) 258-2697
Fax
(336) 258-2697
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Dr. Emily Mullis Reid, DC
Title
Owner
Phone
(336) 258-2697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4467 NC Primary

Addresses

Primary practice location

947 N Bridge St
Elkin, NC 28621-2403

Mailing address

947 N Bridge St
Elkin, NC 28621-2403
Phone (336) 258-2697

Other identifiers 1

IdentifierTypeStateIssuer
4467OtherNCCHIRORPACTIC LICENSE

National Provider Directory

National Provider Directory

Locations

947 N Bridge St
Elkin, NC 28621
Phone (336) 258-2697

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1831696798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212403",
            "telephone_number": "336-258-2697",
            "fax_number": "336-258-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212403",
            "telephone_number": "336-258-2697",
            "fax_number": "336-258-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADKIN VALLEY COMPREHENSIVE HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MULLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-258-2697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRORPACTIC LICENSE",
            "identifier": "4467",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.