NPIMap

Organization Active NPI

Derrick W. Denman DC PA

Doing business as Alternative Chiropractic: a Creating Wellness Center

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1922192376
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DERRICK W. DENMAN DC PA
Doing business as
Alternative Chiropractic: a Creating Wellness Center
Practice address
484 Williamson Rd
Mooresville, NC 28117
Phone
(704) 799-0939
Fax
(704) 799-0935
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Derrick W. Denman, D.C.NPI 1124112610
Title
Owner/Chiropractic
Phone
(704) 799-0939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

484 Williamson Rd
Mooresville, NC 28117

Mailing address

PO Box 3726
Mooresville, NC 28117
Phone (704) 799-0939

Other identifiers 1

IdentifierTypeStateIssuer
790186CMedicaidNC

Other names 1

  • ALTERNATIVE CHIROPRACTIC: A CREATING WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

484 Williamson Rd
Mooresville, NC 28117
Phone (704) 799-0939

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1922192376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3726",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-799-0939",
            "fax_number": "704-799-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-799-0939",
            "fax_number": "704-799-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK W. DENMAN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "DENMAN",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC",
        "authorized_official_telephone_number": "704-799-0939",
        "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": "790186C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTERNATIVE CHIROPRACTIC: A CREATING WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.