Organization Active NPI

Deep River Chiropractic Corp

  • Chiropractor
  • High Point, NC
National Provider Identifier
1902017627
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2108 Issued in NC
Legal business name
DEEP RIVER CHIROPRACTIC CORP
Practice address
2783 NC Highway 68 S Ste 110
High Point, NC 27265-8325
Phone
(336) 337-4665
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Thomas S Tselides, DC
Title
President
Phone
(336) 337-4665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2108 NC Primary

Addresses

Primary practice location

2783 NC Highway 68 S Ste 110
High Point, NC 27265-8325

Mailing address

2783 NC Highway 68 S
Suite 110
High Point, NC 27265-8324
Phone (336) 337-4665

National Provider Directory

National Provider Directory

Locations

2783 NC Highway 68 S
Ste 110
High Point, NC 27265
Phone (336) 337-4665

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1902017627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 NC HIGHWAY 68 S",
            "address_2": "SUITE 110",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658324",
            "telephone_number": "336-337-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 NC HIGHWAY 68 S STE 110",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658325",
            "telephone_number": "336-337-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP RIVER CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "TSELIDES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-337-4665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.