NPIMap

Organization Active NPI

Southeastern Healthcare Center PC

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1982666749
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHEASTERN HEALTHCARE CENTER PC
Practice address
2595 S 17TH St
Wilmington, NC 28401-7765
Phone
(910) 791-2788
Fax
(910) 791-2711
NPI assigned
Apr 5, 2006
Last updated
Feb 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEASTHERN HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Maurice V. Horton, D.CNPI 1326040106
Title
Owner
Phone
(910) 392-1488

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

2595 S 17TH St
Wilmington, NC 28401-7765

Mailing address

2595 S 17TH St
Wilmington, NC 28401-7765
Phone (910) 791-2788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040131000157 NC Part B Supplier - Clinic/Group Practice 0648173054 Receives reassigned benefits from 8 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Leland, NC; Wilmington, NC; Shallotte, NC

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Healthcare Centers PC5 organizations share this tax ID, including this one
Part of
Southeastern Healthcare Centers PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1982666749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017765",
            "telephone_number": "910-791-2788",
            "fax_number": "910-791-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017765",
            "telephone_number": "910-791-2788",
            "fax_number": "910-791-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HEALTHCARE CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTHERN HEALTHCARE",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-392-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 12, 2013; 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.