Coastal Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COASTAL CHIROPRACTIC CENTER PA

Practice address

3825 Market St
Suite #1
Wilmington, NC 28403-1453

Phone

(910) 343-1111

Fax

(910) 343-8292

NPI assigned

Jul 17, 2006

Last updated

Mar 14, 2011By 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. Philip Adrian Vancampen, D.C.NPI 1679527782

Title

Owner

Phone

(910) 343-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Philip Adrian Vancampen, DC

  • Chiropractor
  • Wilmington, NC
  • NPI 1679527782
  Medicare reassignment Care Compare group NPD Authorized official
• Tracy Carpenter-Labrecque, DC

  • Chiropractor
  • Wilmington, NC
  • NPI 1922052034
  Medicare reassignment Care Compare group NPD
• Kelly B Van Campen, DC

  • Chiropractor
  • Wilmington, NC
  • NPI 1083175426
  Medicare reassignment Care Compare group NPD
• Andre Francis Santangelo, DC

  • Chiropractor
  • Wilmington, NC
  • NPI 1649218843
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1912925371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12027",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284050100",
            "telephone_number": "910-343-1111",
            "fax_number": "910-343-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MARKET ST",
            "address_2": "SUITE #1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031453",
            "telephone_number": "910-343-1111",
            "fax_number": "910-343-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "VANCAMPEN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-343-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908304",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "08304",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Carolina Radiation Oncology, PLLC
• Coastal Carolina Sedation Associates, LLC
• Coastal Childrens Services PLLC
• Coastal Childrens Services PLLC (CCS Wilmington)
• Coastal Childrens Services PLLC
• Coastal Community Care Services LLC
• Coastal Connections Collective, PLLC
• Coastal Counseling Associates, PLLC
• Coastal Dermatology & Surgery Center, PA
• Coastal Enterprises of Wilmington

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.