Ravenscroft 58 Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1700 Issued in NC

Legal business name

RAVENSCROFT 58 INC

Practice address

136 Waynesville Plaza
Ste 1
Waynesville, NC 28786

Phone

(828) 456-5700

Fax

(828) 456-5728

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Craig Edward Gibson Sr., DCNPI 1275620130

Title

Owner

Phone

(828) 456-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haywood Chiropractic Former legal business name

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.

• Craig Edward Gibson, DC

  • Chiropractor
  • Waynesville, NC
  • NPI 1275620130
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1962484543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WAYNESVILLE PLAZA",
            "address_2": "STE 1",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "28786",
            "telephone_number": "828-456-5700",
            "fax_number": "828-456-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WAYNESVILLE PLAZA",
            "address_2": "STE 1",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "28786",
            "telephone_number": "828-456-5700",
            "fax_number": "828-456-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENSCROFT 58 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-456-5700",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890882F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haywood Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tana Rains
• Raleigh Durham Medical Group, PA
• Kristen Ramos, A.U.D
• Lucinda D Ramsey
• Bonnie Michele Raskin, MS
• Stephanie Anne Rayburn, LCMHCA
• John Charles Read, RPH.
• Wendy C Reams
• Melissa Renee Redditt, M.A. CCC-SLP
• Michael Lee Redmond, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.