TEAM CHIROPRACTIC & SPORTS MEDICINE PA NPI 1316086366

NPI Information

NPI: 1316086366
Provider Name: TEAM CHIROPRACTIC & SPORTS MEDICINE, PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
309-199 W MILLBROOK RD
RALEIGH, NC
ZIP 27609
Phone: (919) 788-8881
Get Directions

TEAM CHIROPRACTIC & SPORTS MEDICINE, PA is a chiropractor in Raleigh, NC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. TEAM CHIROPRACTIC & SPORTS MEDICINE, PA NPI is 1316086366. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309-199 W MILLBROOK RD
RALEIGH, NC
ZIP 27609-385
Phone: (919) 788-8881
Fax: (919) 788-8818

The provider's authorized official is Lawrence D Dodd .
The authorized official title is Chiropractor and has the following contact phone number (919) 788-8881.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2172	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2449113B	MEDICARE PIN	NORTH CAROLINA
2	08316	OTHER	NORTH CAROLINA	BCBS INDIVIDUAL DODD
3	7908316	MEDICAID	NORTH CAROLINA
4	790201U	OTHER	NORTH CAROLINA	MEDICAID GROUP NUMBER
5	2346483	OTHER	NORTH CAROLINA	MEDICARE GROUP NUMBER
6	0201U	OTHER	NORTH CAROLINA	BCBS GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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