OPTIMAL HEALTH CHIROPRACTIC (NPI# 1073656583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073656583 |
| Entity Type | Organization |
| Organization Name | OPTIMAL HEALTH CHIROPRACTIC |
| Practice Address |
2575 Old Glory Rd Ste 300 Clemmons NC 27012-9585 |
| Practice Telephone | 3367124100 |
| Practice Fax Number | 3367124144 |
| Mailing Telephone | 3367124100 |
| Mailing Fax Number | 3367124144 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | DR. ADAM JON WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 3367124100 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3276 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5901160 | 05 | |
| NC | BCBS | 085VR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891175899 | Optimal Health Chiropractic | Massage Therapist | 7315 212th St Sw Ste 203, Edmonds, WA 98026-7610 | 2015-06-04 |
| 1700070729 | Optimal Health Chiropractic | Chiropractor | 12995 Sheridan Blvd Ste 101, Broomfield, CO 80020-1488 | 2007-09-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OPTIMAL HEALTH CHIROPRACTIC & WELLNESS, LLC | 105 E Butler St, Manchester, IA 52057 |
| Colorado Business Entities | OPTIMAL HEALTH CHIROPRACTIC, P.C. | 12995 Sheridan Blvd., Broomfield, CO 80020 |
| Street Address |
2575 OLD GLORY RD STE 300 |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-9585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583862 | Adam Jon Williams | Chiropractor | 2575 Old Glory Rd Ste 300, Clemmons, NC 27012-9585 | 2006-01-18 |
| 1477193720 | Lindsay Holt | Chiropractor | 2575 Old Glory Rd Ste 300, Clemmons, NC 27012-9585 | 2020-01-14 |
| 1902126014 | Optimal Health Chiropractic Pllc | Chiropractor | 2575 Old Glory Rd Ste 300, Clemmons, NC 27012-9585 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962893388 | Jennifer Hunter | Chiropractor | 6015 Parkdale Dr, Clemmons, NC 27012-9271 | 2015-02-06 |
| 1043648751 | Jason Wyatt Barker | Chiropractor | 6000 Meadowbrook Mall Ct Ste 3a, Clemmons, NC 27012-8775 | 2013-10-16 |
| 1760559215 | Clemmons Village Chiropractic Pllc | Chiropractor | 2235 Lewisville Clemmons Rd, Suite B, Clemmons, NC 27012-8999 | 2006-11-29 |
| 1225120868 | Maureenrita O'toole Work | Chiropractor | 5919 James St, Suite C, Clemmons, NC 27012-9688 | 2006-09-29 |
| 1669489001 | Robert Scott Foster Jr. | Chiropractor | 2755 Lewisville Clemmons Rd, Clemmons, NC 27012-8715 | 2006-08-01 |
| 1477502003 | Esther Marie Remeta | Chiropractor | 2505 Neudorf Rd, Clemmons, NC 27012-9229 | 2006-05-10 |
| 1972583862 | Adam Jon Williams | Chiropractor | 2575 Old Glory Rd Ste 300, Clemmons, NC 27012-9585 | 2006-01-18 |
| 1851378855 | Paul Wayne Williams | Chiropractor | 2850 Middlebrook Dr, Clemmons, NC 27012-8796 | 2005-12-30 |
| 1013998848 | Michael John Riccoboni | Chiropractor | 6774 River Center Drive, Clemmons, NC 27012-8999 | 2005-11-09 |
| 1285622134 | Susan Schneiderman Sykes | Chiropractor | 3505 Lawrence St, Clemmons, NC 27012-7298 | 2005-10-13 |
| Find all providers in CLEMMONS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.