Active Living Chiropractic Inc
NPI 1912220690ActiveOrganization· Chiropractor· Greenville, NC
Chiropractor in Greenville, North Carolina, registered in NPPES in March 2010. The authorized official on file is Tabatha Bullock Wirth, Billing/Wife. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912220690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2010 |
| Last updated in NPPES | Apr 24, 2023 |
| Certified by provider | Apr 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4057 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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