Organization Active NPI

Duffy Clinic of Chiropractic PA

  • Chiropractor
  • Cherryville, NC
National Provider Identifier
1902980436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
919 Issued in NC
Legal business name
DUFFY CLINIC OF CHIROPRACTIC PA
Practice address
1412 E Church St
Cherryville, NC 28021-9258
Phone
(704) 435-4536
Fax
(704) 435-4537
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph A Duffy, D.C.NPI 1780680157
Title
President
Phone
(704) 435-4536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 919 NC Primary

Addresses

Primary practice location

1412 E Church St
Cherryville, NC 28021-9258

Mailing address

PO Box 70
Cherryville, NC 28021-0070
Phone (704) 435-4536

Other identifiers 1

IdentifierTypeStateIssuer
8908368MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080220000740 NC Part B Supplier - Clinic/Group Practice 8022192640 Receives reassigned benefits from 1 practitioner
Practice locations: Cherryville, NC

National Provider Directory

National Provider Directory

Locations

1412 E Church St
Cherryville, NC 28021
Phone (704) 435-4536

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902980436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280210070",
            "telephone_number": "704-435-4536",
            "fax_number": "704-435-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 E CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280219258",
            "telephone_number": "704-435-4536",
            "fax_number": "704-435-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFFY CLINIC OF CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-435-4536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908368",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherryville, NC

Sources for this page

  • 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.