CHIROPRACTIC ADVANTAGE PA (NPI# 1619397841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619397841 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC ADVANTAGE PA |
| Other Organization Name | A HEALTHY BACK |
| Practice Address |
1411 Fort Bragg Rd Fayetteville NC 28305-4707 |
| Mailing Address |
Po Box 53703 Fayetteville NC 28305-3703 |
| Practice Telephone | 9104869511 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | DR. ROBERT W TWADDELL (OWNER) |
| Authorized Official Telephone | 9104869511 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2347 | NC | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| A Healthy Back | Doing Business As Name - Organization |
| Street Address |
1411 FORT BRAGG RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427016963 | Kenneth Harold Suggs | Chiropractor | 1411 Fort Bragg Rd, Fayetteville, NC 28305-4707 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| 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 |
|---|---|---|---|---|
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1811537129 | Tyler Lee Awe | Chiropractor | 3155 N College Ave Ste 103, Fayetteville, AR 72703-3500 | 2020-01-14 |
| 1982245387 | Aell Spencer Chiropractic Inc | Chiropractor | 3980 W Wedington Dr Ste 14, Fayetteville, AR 72704-5791 | 2019-10-07 |
| 1063975571 | Arkansas Biomechanics & Rehabilitation, Pllc | Chiropractor | 3801 Johnson Mill Blvd Ste A&b, Fayetteville, AR 72704-5297 | 2019-04-11 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1740790716 | Gabriel J Ariciu | Chiropractor | 1678 E Joyce Blvd Ste 1, Fayetteville, AR 72703-6214 | 2017-10-04 |
| 1659895605 | Parker Watkins | Chiropractor | 3761 N Mall Ave Ste 3, Fayetteville, AR 72703-4972 | 2017-08-01 |
| 1780116053 | Goodheart Chiropractic Clinic, Inc. | Chiropractor | 280 Glynn St S, Fayetteville, GA 30214-2014 | 2017-03-28 |
| 1720525041 | Eric Bell | Chiropractor | 2684 Hollybrooke Dr, Fayetteville, AR 72701-9298 | 2017-01-24 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
Please comment or provide details below to improve the information on CHIROPRACTIC ADVANTAGE PA.
| 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.