Organization Active NPI

Branch Chiropractic

  • Chiropractor
  • Candler, NC
National Provider Identifier
1912094863
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1652 Issued in NC
Legal business name
BRANCH CHIROPRACTIC
Practice address
790B Smokey Park Hwy
Candler, NC 28715-9658
Phone
(828) 670-6440
NPI assigned
Oct 10, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Kenneth BranchNPI 1730122722
Title
Pres DC
Phone
(828) 670-6440

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 1652 NC Primary

Addresses

Primary practice location

790B Smokey Park Hwy
Candler, NC 28715-9658

Mailing address

790B Smokey Park Hwy
Candler, NC 28715-9658
Phone (828) 670-6440

Other identifiers 2

IdentifierTypeStateIssuer
890827CMedicaidNC
0827COtherNCBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000553 NC Part B Supplier - Clinic/Group Practice 5395905046 Receives reassigned benefits from 1 practitioner
Practice locations: Candler, NC

National Provider Directory

National Provider Directory

Locations

790 Smokey Park Hwy
#B
Candler, NC 28715
Phone (828) 670-6440

790B Smokey Park Hwy
Candler, NC 28715
Phone (828) 670-6440

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1912094863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790B SMOKEY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159658",
            "telephone_number": "828-670-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790B SMOKEY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159658",
            "telephone_number": "828-670-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRES DC",
        "authorized_official_telephone_number": "828-670-6440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890827C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0827C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Candler, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.