DR. KEVIN MARK SHARP (NPI# 1568458057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568458057 |
Entity Type | Individual |
Full Name | DR. KEVIN MARK SHARP |
Credential | D.C. |
Practice Address |
173 Jonestown Rd Winston-salem NC 27104-4616 |
Practice Telephone | 3367687227 |
Practice Fax Number | 3367683802 |
Mailing Telephone | 3367687227 |
Mailing Fax Number | 3367683802 |
Enumeration Date | 2005-09-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 19279 | CA | Chiropractic Providers |
Y | 111N00000X | Chiropractor | 1929 | NC | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 790279A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184822116 | Kevin M Sharp | Physical Therapist | 120 Sandhill Dr Ste 3, Middletown, DE 19709-5806 | 2007-07-11 |
1760766901 | Kevin Sharp | Counselor | 310 12th Ave Ne, Norman, OK 73071-5238 | 2011-10-06 |
Street Address |
173 JONESTOWN RD |
City | WINSTON-SALEM |
State | NC |
Zip Code | 27104-4616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
Find all providers in zip 27104 |
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 |
---|---|---|---|---|
1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
1356435804 | Cynthia Sutton Durham | Chiropractor | 5201 N Silas Creek Parkway, Winston-salem, NC 27106 | 2006-10-02 |
1588630917 | Grant Robert Wright | Chiropractor | 2022 S Main St, Winston-salem, NC 27127-2934 | 2006-02-25 |
1811975352 | John William Lancaster | Chiropractor | 2200 Silas Creek Pkwy, Ste 8a, Winston-salem, NC 27103 | 2006-01-05 |
1376521989 | Rick M Erickson | Chiropractor | 1704 South Hawthorne Rd, Winston-salem, NC 27103-3326 | 2006-01-04 |
1992792337 | Ricky Reich Sides | Chiropractor | 1570 Westbrook Plaza Dr, Winston-salem, NC 27103-1328 | 2005-09-30 |
1386774040 | Erickson & Erickson LLC | Chiropractor | 1704 South Hawthorne Rd, Winston-salem, NC 27103-3326 | 2007-03-06 |
1245327451 | Sides Chiropractic Pa | Chiropractor | 1570 Westbrook Plaza Dr, Winston-salem, NC 27103 | 2006-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962001776 | Abigail Plowcha | Chiropractor | 4818 Charlton Ln, Charlotte, NC 28210-2705 | 2020-10-22 |
1154920056 | Willow Health and Wellness | Chiropractor | 643 Greenway Rd Ste K1, Boone, NC 28607-4840 | 2020-10-21 |
1639778855 | Brittany Alexa Kopec | Chiropractor | 916 W Morgan St, Raleigh, NC 27603-1512 | 2020-10-19 |
1598363343 | Sierra Davis | Chiropractor | 8420 New Town Rd Ste 102, Waxhaw, NC 28173-7088 | 2020-10-14 |
1225644024 | Tory Hall | Chiropractor | 8424 Ovation Dr, Cary, NC 27513-2646 | 2020-09-17 |
1821602707 | Jose Cruz Troche | Chiropractor | 6253 South Blvd, Charlotte, NC 28217-4440 | 2020-09-08 |
1720692924 | Scott Chiropractic LLC | Chiropractor | 1075 Walmart Dr, Williamston, NC 27892-9749 | 2020-09-04 |
1437763711 | Robert Cameron Browney | Chiropractor | 41 N Merrimon Ave Unit 111, Woodfin, NC 28804-1364 | 2020-09-03 |
1467066076 | Christopher Mckechnie | Chiropractor | 827 Heart Wood Loop Rd Ne, Leland, NC 28451-9419 | 2020-09-01 |
1548873706 | Hunter Samuel Buckley | Chiropractor | 8928 Us 70 Bus Hwy W Ste 700, Clayton, NC 27520-4847 | 2020-08-27 |
Find all providers with the same taxonomy |
City | WINSTON-SALEM |
Zip Code | 27104 |
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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.