Organization Active NPI

Spinalcare of Wilmington, PLLC

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1972637023
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2989 Issued in NC
Legal business name
SPINALCARE OF WILMINGTON, PLLC
Practice address
4024 Oleander Dr
Wilmington, NC 28403-6851
Phone
(910) 798-5560
Fax
(910) 798-5561
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Aaron J Richardet, DCNPI 1528054442
Title
Member
Phone
(910) 798-5560

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 2989 NC Primary

Addresses

Primary practice location

4024 Oleander Dr
Wilmington, NC 28403-6851

Mailing address

4024 Oleander Dr
Wilmington, NC 28403-6851
Phone (910) 798-5560

Other identifiers 1

IdentifierTypeStateIssuer
89085EYMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070815000213 NC Part B Supplier - Clinic/Group Practice 6103918503 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

697 Ocean Hwy W
Supply, NC 28462
Phone (910) 798-5560

211 Racine Dr
Ste 202
Wilmington, NC 28403
Phone (910) 798-5560

4024 Oleander Dr
Ste 3
Wilmington, NC 28403
Phone (910) 798-5560

4024 Oleander Dr
Wilmington, NC 28403
Phone (910) 798-5560

Practitioners & affiliated clinicians

Practitioners 5

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1972637023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036851",
            "telephone_number": "910-798-5560",
            "fax_number": "910-798-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036851",
            "telephone_number": "910-798-5560",
            "fax_number": "910-798-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINALCARE OF WILMINGTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDET",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-798-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085EY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 15, 2007; 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.