Healthcare Provider Details

I. General information

NPI: 1508741893
Provider Name (Legal Business Name): ALEX NOVAK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/09/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5107 NC HIGHWAY 55 STE 103
DURHAM NC
27713-9685
US

IV. Provider business mailing address

516 WHITWORTH LN
MORRISVILLE NC
27560-8614
US

V. Phone/Fax

Practice location:
  • Phone: 919-544-4663
  • Fax:
Mailing address:
  • Phone: 330-806-7669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5955
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: