Atlantic Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ATLANTIC CHIROPRACTIC CLINIC

Practice address

3715 Patriot Way
Unit 143
Wilmington, NC 28412-6907

Phone

(910) 395-2774

Fax

(910) 395-2474

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Mary White, D.C.NPI 1902006935

Title

Chief Financial Officer

Phone

(910) 395-2774

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Donovan, D.C.

  • Chiropractor
  • Wilmington, NC
  • NPI 1083723597
  Medicare reassignment NPD
• Kathleen Mary White, D.C.

  • Chiropractor
  • Wilmington, NC
  • NPI 1902006935
  Authorized official Same address or phone

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1871793802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 PATRIOT WAY",
            "address_2": "UNIT 143",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126907",
            "telephone_number": "910-395-2774",
            "fax_number": "910-395-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PATRIOT WAY",
            "address_2": "UNIT 143",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126907",
            "telephone_number": "910-395-2774",
            "fax_number": "910-395-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "910-395-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "02301",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kay Atkins, LCSW
• Danielle Atkinson, PSY.D.
• Morgan La Neice Atkinson
• Wendy Laura Atkinson, M.D.
• Atlantic Brain and Spine, P.a.
• Atlantic Coast Chiropractic
• Atlantic Dermatology, PA
• Atlantic Health Clinic, PA
• Atlantic Initiatives LLC (Port City Pharmacy)
• Atlantic Medical Equipment

• Chiropractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Chiropractor in North Carolina

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