Organization Active NPI

Integrity Health Options, PA

  • Chiropractor
  • Forest City, NC
National Provider Identifier
1851472641
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2198 Issued in NC
Legal business name
INTEGRITY HEALTH OPTIONS, PA
Practice address
1322 W Main St
Forest City, NC 28043-2555
Phone
(828) 245-4002
Fax
(828) 245-4025
NPI assigned
Oct 18, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Simon Paul Calvillo, D.C.NPI 1437265477
Title
Chiropractor
Phone
(828) 245-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20120612000625 NC Part B Supplier - Clinic/Group Practice 3375707813 Receives reassigned benefits from 4 practitioners
Practice locations: Forest City, NC

National Provider Directory

National Provider Directory

Locations

627 Withrow Rd
Forest City, NC 28043
Phone (828) 245-4002

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2198 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1322 W Main St
Forest City, NC 28043-2555

Mailing address

1322 W Main St
Forest City, NC 28043-2555
Phone (828) 245-4002

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
890829FMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2010.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1851472641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 W MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432555",
            "telephone_number": "828-245-4002",
            "fax_number": "828-245-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 W MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432555",
            "telephone_number": "828-245-4002",
            "fax_number": "828-245-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HEALTH OPTIONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "CALVILLO",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "828-245-4002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890829F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.