Bannon Clinic of Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2804 Issued in NC

Legal business name

BANNON CLINIC OF CHIROPRACTIC, PA

Practice address

1002 S New Hope Rd
Gastonia, NC 28054-3801

Phone

(704) 864-7774

Fax

(704) 810-8998

NPI assigned

Oct 13, 2006

Last updated

Sep 8, 2010By 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. Timothy S. Bannon, D.C.NPI 1972613750

Title

Doctor

Phone

(704) 864-7774

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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.

• Timothy S Bannon, DC

  • Chiropractor
  • Gastonia, NC
  • NPI 1972613750
  Medicare reassignment Care Compare group NPD Authorized official
• Lonnie Gale Katro, D.C.

  • Chiropractor
  • Gastonia, NC
  • NPI 1023191129
  Medicare reassignment Care Compare group NPD
• Traci D Clark, DC

  • Chiropractor
  • Rocky Mount, NC
  • NPI 1073548996
  NPD (past)
• Richard Dean Thomas, D.C

  • Chiropractor
  • Gastonia, NC
  • NPI 1699703900
  NPD (past)
• Neil Vance, D.C.

  • Chiropractor
  • Skaneateles, NY
  • NPI 1548281181
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1891885851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543801",
            "telephone_number": "704-864-7774",
            "fax_number": "704-810-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543801",
            "telephone_number": "704-864-7774",
            "fax_number": "704-810-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNON CLINIC OF CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "BANNON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-864-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890842V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanese Bandy, MA, LPC
• Anup Banerjee, M.D.
• Khadijah Antionette Banks
• Mara Banks, MD, PHD
• Raven Ayanna Banks
• Timothy S Bannon, DC
• Kimber Barbeau
• Susan Michelle Barbee, CRNA
• Michelle Barbosa
• Bryan James Barboza, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.