NPIMap

Organization Active NPI

Bode Chiropractic Center, Inc

  • Chiropractor
  • Aberdeen, NC
National Provider Identifier
1891847208
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2433 Issued in NC
Legal business name
BODE CHIROPRACTIC CENTER, INC
Practice address
300 Magnolia Square CT
Aberdeen, NC 28315-2227
Phone
(910) 695-1500
Fax
(910) 695-1505
NPI assigned
Jan 17, 2007
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Justin W Bode, D.C.NPI 1962474122
Title
Owner
Phone
(910) 695-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2433 NC Primary

Addresses

Primary practice location

300 Magnolia Square CT
Aberdeen, NC 28315-2227

Mailing address

300 Magnolia Square CT
Aberdeen, NC 28315-2227
Phone (910) 695-1500

Other identifiers 1

IdentifierTypeStateIssuer
890829MMedicaidNC

National Provider Directory

National Provider Directory

Locations

300 Magnolia Square Ct
Aberdeen, NC 28315
Phone (910) 695-1500

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1891847208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAGNOLIA SQUARE CT",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152227",
            "telephone_number": "910-695-1500",
            "fax_number": "910-695-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAGNOLIA SQUARE CT",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152227",
            "telephone_number": "910-695-1500",
            "fax_number": "910-695-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODE CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BODE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-695-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890829M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.