COASTAL CAROLINA CHIROPRACTIC (NPI# 1720497019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720497019 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA CHIROPRACTIC |
| Other Organization Name | COASTAL INTEGRATIVE HEALTH |
| Practice Address |
728 Village Rd Sw Shallotte NC 28470-3412 |
| Practice Telephone | 9107555400 |
| Practice Fax Number | 9107555402 |
| Mailing Telephone | 9107555400 |
| Mailing Fax Number | 9107555402 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | DR. BRIAN LANK (OWNER) |
| Authorized Official Telephone | 9107555400 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
P2549 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7211899 | 05 | |
| NPI | 1821190075 | 01 |
| Other Name | Type Code |
|---|---|
| Coastal Integrative Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922178722 | Coastal Carolina Chiropractic | Clinic/Center | 728 Village Rd Sw, Shallotte, NC 28470-3412 | 2006-11-09 |
| 1205183654 | Coastal Carolina Chiropractic | Chiropractor | 721 Long Point Rd, Suite 403, Mt Pleasant, SC 29464-8297 | 2012-08-03 |
| Street Address |
728 VILLAGE RD SW |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922178722 | Coastal Carolina Chiropractic | Clinic/Center | 728 Village Rd Sw, Shallotte, NC 28470-3412 | 2006-11-09 |
| 1235739855 | Brittany Davis Britt | Nurse Practitioner | 728 Village Rd Sw, Shallotte, NC 28470-3412 | 2020-11-01 |
| 1174162531 | Alex K Humbert | Chiropractor | 728 Village Rd Sw, Shallotte, NC 28470-3412 | 2020-01-03 |
| 1699312165 | Olivia Jasinski | Physical Therapist | 728 Village Rd Sw, Shallotte, NC 28470-3412 | 2019-12-04 |
| 1396025946 | James Brian Morosky | Chiropractor | 728 Village Rd Sw, Shallotte, NC 28470-3412 | 2011-08-26 |
| 1033260492 | Patrick Joseph Mccauley | Physical Therapist | 728 Village Rd Sw, Shallotte, NC 28470-3412 | 2007-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609336981 | Open Gate Counseling Services Pllc | Counselor | 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 | 2019-03-22 |
| 1689188286 | Justice Pharmacy,inc | Pharmacy | 301 S Willis Dr, #112, Shallotte, NC 28470 | 2017-11-20 |
| 1609224914 | Emergeortho, Pa | Orthopaedic Surgery | 5160 Ocean Highway West, Shallotte, NC 28470 | 2016-05-26 |
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1265741128 | Janet Rhyne Martin | Speech-Language Pathologist | 4902 Main Street, Suite D, Shallotte, NC 28470 | 2010-09-27 |
| 1225261555 | Jason Keeley Riemann | Chiropractor | 4911 Bridgers Rd, Shallotte, NC 28470 | 2009-09-03 |
| 1215108972 | Frederick A. Williams,dmd, Pa | Dentist | 343 Whiteville Road, Shallotte, NC 28470 | 2008-03-20 |
| 1053599316 | Brian Salvatore Lank | Chiropractor | 728 Village Rd, Sw, Shallotte, NC 28470 | 2008-02-08 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1235267766 | Edmond Cochard | Psychologist | 120 Coastal Horizons Drive, Shalotte, NC 28470 | 2007-02-28 |
| Find all providers in zip 28470 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124521323 | Adja Catalano | Physical Therapist | 4501 Main St Ste 5, Shallotte, NC 28470-4585 | 2018-03-14 |
| 1184792004 | Jean Oliver Myers | Physical Therapist | 5160 Ocean Hwy W, Shallotte, NC 28470 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
| 1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
| 1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
| Find all providers with the same taxonomy | ||||
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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.