Organization Active NPI

Prime Health Chiropractic

  • Chiropractor
  • Shelby, NC
National Provider Identifier
1871996405
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4504 Issued in NC
Legal business name
PRIME HEALTH CHIROPRACTIC
Practice address
615 S Dekalb St Ste B
Shelby, NC 28150-6185
Phone
(704) 751-0024
Fax
(704) 751-1248
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Dr. Kevin Prime, D.C
Title
Chiropractor
Phone
(704) 751-0024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4504 NC Primary

Addresses

Primary practice location

615 S Dekalb St Ste B
Shelby, NC 28150-6185

Mailing address

615 S Dekalb St Ste B
Shelby, NC 28150-6185
Phone (704) 751-0024

National Provider Directory

National Provider Directory

Locations

615 S DeKalb St
#B
Shelby, NC 28150
Phone (704) 751-0024

615 S DeKalb St
Ste B
Shelby, NC 28150
Phone (704) 751-0024

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1871996405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S DEKALB ST STE B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281506185",
            "telephone_number": "704-751-0024",
            "fax_number": "704-751-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S DEKALB ST STE B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281506185",
            "telephone_number": "704-751-0024",
            "fax_number": "704-751-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "PRIME",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "704-751-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.