Organization Active NPI

Chiropractic Plus PA

  • Chiropractor
  • Fayetteville, NC
National Provider Identifier
1841308038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3330 Issued in NC
Legal business name
CHIROPRACTIC PLUS PA
Practice address
9553 Cliffdale Rd
Fayetteville, NC 28304-5956
Phone
(910) 480-1111
Fax
(910) 480-1113
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Salvatore Cosimo Daniele, DCNPI 1184732430
Title
President
Phone
(910) 480-1111

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 3330 NC Primary

Addresses

Primary practice location

9553 Cliffdale Rd
Fayetteville, NC 28304-5956

Mailing address

439 Westwood Shopping Ctr #5
Fayetteville, NC 28314-1532
Phone (910) 480-1111

Other identifiers 3

IdentifierTypeStateIssuer
89085UXMedicaidNC
662673OtherNCAMERICAN CHIRO. NETWORK
085UXOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

9553 Cliffdale Rd
Fayetteville, NC 28304
Phone (910) 480-1111

Practitioners & affiliated clinicians

Practitioners 1

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841308038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WESTWOOD SHOPPING CTR #5",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141532",
            "telephone_number": "910-480-1111",
            "fax_number": "910-480-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9553 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045956",
            "telephone_number": "910-480-1111",
            "fax_number": "910-480-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PLUS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELE",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "COSIMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-480-1111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085UX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIRO. NETWORK",
            "identifier": "662673",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "085UX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.