Organization Active NPI

Ledford Chiropractic PLLC

Doing business as Cape Fear Chiropractor

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1972294189
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEDFORD CHIROPRACTIC PLLC
Doing business as
Cape Fear Chiropractor
Practice address
6768 Gordon Rd
Wilmington, NC 28411-8464
Phone
(910) 313-1003
NPI assigned
May 17, 2023
Last updated
Oct 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Authorized official

Name
Dr. Tyler Gregory Ledford, D.C.NPI 1407311699
Title
Chiropractor
Phone
(919) 667-5747

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6768 Gordon Rd
Wilmington, NC 28411-8464

Mailing address

6768 Gordon Rd
Wilmington, NC 28411-8464
Phone (910) 313-1003

Other names 1

  • Cape Fear Chiropractor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125001771 NC Part B Supplier - Clinic/Group Practice 0244683399 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

6768 Gordon Rd
Wilmington, NC 28411
Phone (910) 313-1003

Practitioners & affiliated clinicians

Practitioners 3

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1972294189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6768 GORDON RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118464",
            "telephone_number": "910-313-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6768 GORDON RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118464",
            "telephone_number": "910-313-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDFORD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "LEDFORD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "919-667-5747",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Chiropractor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.