Individual provider Active NPI

Charles Frederick Studley III, DC

  • Chiropractor
  • Murphy, NC
National Provider Identifier
1841255411
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2883 Issued in NC
Practice address
1787-1 US Highway 64 West
Murphy, NC 28906
Phone
(828) 835-9586
Fax
(828) 837-2996
NPI assigned
Apr 18, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2883 NC Primary

Addresses

Primary practice location

1787-1 US Highway 64 West
Murphy, NC 28906

Mailing address

1787-1 US Highway 64 West
Murphy, NC 28906
Phone (828) 835-9586

Other identifiers 1

IdentifierTypeStateIssuer
890848AMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000033 NC Practitioner - Chiropractic 5092759662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2883NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Studley Chiropractic Clinic, Inc. Chiropractor CurrentSince Jun 1, 2005 Accepting new patients

Locations

1787 W US Highway 64
Ste 1
Murphy, NC 28906
Phone (828) 835-9586

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1841255411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787-1 US HIGHWAY 64 WEST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "28906",
            "telephone_number": "828-835-9586",
            "fax_number": "828-837-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787-1 US HIGHWAY 64 WEST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "28906",
            "telephone_number": "828-835-9586",
            "fax_number": "828-837-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDLEY",
        "first_name": "CHARLES",
        "middle_name": "FREDERICK",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890848A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.