NPIMap

Organization Active NPI

Carolina Active Care Chiropractic

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1912084765
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3523 Issued in NC
Legal business name
CAROLINA ACTIVE CARE CHIROPRACTIC
Practice address
5814 Oleander Dr
Suite 5
Wilmington, NC 28403-4778
Phone
(910) 791-9130
Fax
(910) 791-9165
NPI assigned
Nov 1, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Eric S McGraw, D.C.NPI 1760585624
Title
Sec
Phone
(252) 671-9255

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
Chiropractor 111N00000X 3523 NC Primary

Addresses

Primary practice location

5814 Oleander Dr
Suite 5
Wilmington, NC 28403-4778

Mailing address

5814 Oleander Dr
Suite 5
Wilmington, NC 28403-4778
Phone (910) 791-9130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070320000704 NC Part B Supplier - Clinic/Group Practice 2860595360 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

5814 Oleander Dr
Ste 5
Wilmington, NC 28403
Phone (910) 791-9130

Practitioners & affiliated clinicians

Practitioners 4

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1912084765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 OLEANDER DR",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034778",
            "telephone_number": "910-791-9130",
            "fax_number": "910-791-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 OLEANDER DR",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034778",
            "telephone_number": "910-791-9130",
            "fax_number": "910-791-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ACTIVE CARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "252-671-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.