Pinehurst Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3442 Issued in NC

Legal business name

PINEHURST CHIROPRACTIC INC

Practice address

5 Regional Cir Ste C
Pinehurst, NC 28374-9796

Phone

(910) 295-1215

Fax

(910) 295-1814

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By 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. Jason Dale Clewis, D.C. , A.R.T.NPI 1306811310

Title

Doctor of Chiropractic

Phone

(910) 295-1215

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.

• Jason Dale Clewis, DC

  • Chiropractor
  • Pinehurst, NC
  • NPI 1306811310
  Medicare reassignment Care Compare group NPD Authorized official
• Tommie D Clewis, DC

  • Chiropractor
  • Pinehurst, NC
  • NPI 1073500146
  Medicare reassignment Care Compare group NPD
• Jeffery Moody II, DC

  • Chiropractor
  • Pinehurst, NC
  • NPI 1881206068
  Medicare reassignment Care Compare group NPD
• Baylee Coleman, PT, DPT

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1518848167
  NPD
• Mason Taylor Pratt, DC

  • Chiropractor
  • Pinehurst, NC
  • NPI 1083328207
  NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902975865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REGIONAL CIR STE C",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-295-1215",
            "fax_number": "910-295-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGIONAL CIR STE C",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-295-1215",
            "fax_number": "910-295-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEWIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "910-295-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. , A.R.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903101",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Higgins Pillsbury, MSN, NP-C
• Pinehaven Psychotherapy, PLLC
• Pinehurst Alternative Medicine
• Pinehurst Anesthesia Associates, PA
• Pinehurst Cardiology Consultants PLLC
• Pinehurst Dermatology PA
• Pinehurst Family Care Center,P.a.
• Pinehurst Foot Specialist
• Pinehurst Geriatrics, Inc
• Pinehurst Medical Clinic Inc (Pinehurst Medical Clinic Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.