NORTH STATE SPORT & SPINE (NPI# 1427581479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427581479 |
| Entity Type | Organization |
| Organization Name | NORTH STATE SPORT & SPINE |
| Practice Address |
154 Village Walk Dr Holly Springs NC 27540 |
| Practice Telephone | 9199861492 |
| Mailing Telephone | 9199861492 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | DR. EVAN KAHN (OWNER) |
| Authorized Official Telephone | 9199861492 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
4054 | NC | Chiropractic Providers |
| Street Address |
154 VILLAGE WALK DR |
| City | HOLLY SPRINGS |
| State | NC |
| Zip Code | 27540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194041012 | Evan Andrew Kahn | Chiropractor | 154 Village Walk Dr, Suite 133, Holly Springs, NC 27540-7679 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612785 | Marina Isabel Mckeown | Speech-Language Pathologist | 1140 W Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540 | 2019-07-26 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1699240937 | Kristen Shrum | Family Medicine | 401 Irving Parkway, Holly Springs, NC 27540 | 2018-10-12 |
| 1508369109 | Shannon Silsby | Nurse Practitioner | 1004 Werrington Dr Ste 200, Holly Springs, NC 27540 | 2018-03-10 |
| 1790212306 | Alex Nolan | Speech-Language Pathologist | 251 Center Street, Holly Springs, NC 27540 | 2017-05-12 |
| 1386190957 | Holly Springs Surgery Center, LLC | Clinic/Center | 600 Village Walk Drive, Holly Springs, NC 27540 | 2016-09-01 |
| 1568827723 | Leslie Clark Lively | Speech-Language Pathologist | 1140 W. Savannah Ridge Road, Suite 111, Holly Springs, NC 27540 | 2015-12-15 |
| 1124410667 | Back In Action of Holly Springs, Inc | Physical Therapist | 500 Village Walk Dr., Holly Springs, NC 27540 | 2015-02-20 |
| 1033559018 | Andrew John Krieger | Emergency Medicine | 5405 Bluet Ct, Holly Springs, NC 27540 | 2013-07-05 |
| 1598104200 | Atkins Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 144 Adrian Street, Holly Springs, NC 27540 | 2013-06-17 |
| Find all providers in zip 27540 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811360803 | Ihm Sports Medicine | Chiropractor | 5490 S Miami Blvd Apt 207, Durham, NC 27703-8284 | 2015-11-12 |
| 1043626088 | Swiss Alliance, Inc. | Chiropractor | 976 Martin Luther King Jr Blvd Ste 100, Chapel Hill, NC 27514-2654 | 2014-07-10 |
| 1770728032 | Pierre-yves Philippe Dubois | Chiropractor | 976 Martin Luther King Jr Blvd Ste 101, Chapel Hill, NC 27514-2654 | 2008-12-15 |
| 1639350556 | Charles P Hecht Dc Pa | Chiropractor | 1812 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 | 2007-11-20 |
| 1710170808 | Eric David Bryant | Chiropractor | 8041 Corporate Center Drive, Suite 100, Charlotte, NC 28226-4553 | 2007-08-22 |
| 1801959580 | Gotro Chiropractic of Indian Trail | Chiropractor | 13803 Independence Blvd Ste E, Indian Trail, NC 28079-7680 | 2006-12-18 |
| 1629137369 | Matthew Brian Horvath | Chiropractor | 112 N Winstead Ave, Rocky Mount, NC 27804-2235 | 2006-12-08 |
| 1184783367 | Arnie Wynn | Chiropractor | 610 E 7th St, Suite 2a, Charlotte, NC 28202-2923 | 2006-12-06 |
| 1891862025 | Bonnie Smithyman Baird | Chiropractor | 320 N Judd Prkwy Ne, Ste 102, Fuquay Varina, NC 27526 | 2006-11-30 |
| 1417026774 | Thomas Raleigh Forrest | Chiropractor | 102 W 32nd St, Lumberton, NC 28358-2925 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY SPRINGS |
| Zip Code | 27540 |
Please comment or provide details below to improve the information on NORTH STATE SPORT & SPINE.
| 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.