Active NPI
Duffy Clinic of Chiropractic PA
- Chiropractor
- Cherryville, NC
National Provider Identifier
1902980436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 919
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908368 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Cherryville, NC
- NPI 1780680157
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.