I Heart My Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4026 Issued in NC

Legal business name

I HEART MY SPINE LLC

Practice address

4230 East Tenth Street
Suite G
Greenville, NC 27858-0838

Phone

(252) 758-7583

Fax

(252) 624-0729

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Bret Michael Wickstrom, DCNPI 1972839645

Title

Doctor/Chiropractor

Phone

(252) 758-7583

Specialties & licenses 1

Addresses

Other names 1

• Corrective Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bret Wickstrom

  • Chiropractor
  • Greenville, NC
  • NPI 1972839645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1932584067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 E 10TH STREET",
            "address_2": "SUITE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27858",
            "telephone_number": "252-758-7583",
            "fax_number": "252-624-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 EAST TENTH STREET",
            "address_2": "SUITE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278580838",
            "telephone_number": "252-758-7583",
            "fax_number": "252-624-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I HEART MY SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WICKSTROM",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR/CHIROPRACTOR",
        "authorized_official_telephone_number": "252-758-7583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corrective Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric John Hutchinson, OTR/L
• Mary Helen Allen Hutchinson, MD
• Adrienne Lynne Hutton, M.D.
• Michelle Canipe Huxford, M.D.
• Leonard C Hymes, MD
• Deborah Whitlock Iams
• Matthew Albert Iandoli, DO
• Mark David Iannettoni, MD
• Stephanie Giselle Ibarra Lepe, MD
• Alaa Ibrahim

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.