Active NPI
Ellingson Family Chiropractic, PA
- Chiropractor
- Durham, NC
National Provider Identifier
1851499297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2950
- Legal business name
- ELLINGSON FAMILY CHIROPRACTIC, PA
- Practice address
- 5410 NC Highway 55
Suite E
Durham, NC 27713-7800 - Phone
- (919) 541-9311
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Ellingson, D.C.
- Title
- President
- Phone
- (919) 541-9311
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2950 | NC | Primary |
Addresses
Primary practice location
5410 NC Highway 55
Suite E
Durham, NC 27713-7800
Mailing address
5410 NC Highway 55
Suite E
Durham, NC 27713-7800
Phone (919) 541-9311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651206 | Other | NC | ACN |
| 085GM | Other | NC | BLUECROSS BLUESHIELD |
| 89085GM | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
5410 NC Highway 55
Ste E
Durham, NC 27713
Phone (919) 541-9311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Durham, NC
- NPI 1083600977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296172800000",
"number": "1851499297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 NC HIGHWAY 55",
"address_2": "SUITE E",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137800",
"telephone_number": "919-541-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 NC HIGHWAY 55",
"address_2": "SUITE E",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137800",
"telephone_number": "919-541-9311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLINGSON FAMILY CHIROPRACTIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2011-01-28",
"status": "A",
"authorized_official_last_name": "ELLINGSON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-541-9311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "2950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "651206",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "085GM",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085GM",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.