North Carolina

Chiropractic Information

North Carolina Chiropractic Summary

The primary objective of the Delaware Board of Chiropractic is to protect the public from unsafe chiropractic practice and practices which tend to reduce competition or fix prices for services. The Board must also maintain standards of professional competence and service delivery.

Practice of chiropractic includes the treatment through manipulation/adjustment of the spine and other skeletal structures. All examinations performed by chiropractors shall be in accordance with the protocol and procedures as taught in the majority of accredited chiropractic colleges.

Licensing Requirements

Bachelor’s Degree Required for Licensure: YES
Renewal Term: Annual
Chiropractic Physician entitlement: YES
Additional training/certification required for medicine and rehab services? N/A

Post-Licensing Education

Continuing Education requirements

18 hours required every year. All hours may be earned online, but must include interaction with the instructor (Live Webinar) or a minimum of 10 hours classroom credits and max 8 hours distance/ on-demand.    

requirements for educators

When registering as a board approved CE Provider, CE Broker will lead you through a simplified registration process. You will be asked to submit a CE provider profile and primary contact information. You will not be required to submit documentation to register as a provider with CE Broker. Once registered, you will need to submit a course application with applicable documentation.
Link: https://ncchiroboard.com/wp-content/uploads/2024/07/CEB-Flyer-Provider-Acct-Setup_NC-Chiro-July23-2024.pdf

Are PACE courses accepted for continuing education requirements?

YES

Delaware requires examinations through the National Board of Chiropractic Examiners

Part I, Part II, Part III, Part IV, Physiotherapy, Acupuncture

State Chiropractic Online Resources

State Government Resources

State Legislature Homepage

State Legislature Bill Search Tool

Legislative member roster

State Governor's Office

Secretary of State

Office of the Insurance Commissioner

State Associations

North Carolina Chiropractic Association

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State Chiropractic Coverage

Worker’s Compensation

North Carolina Industrial Commission: https://www.ic.nc.gov/

Workers Comp Provider Information https://www.ic.nc.gov/medproviders.html

Workers Comp Fee Schedule https://www.ic.nc.gov/medfeeschdisclaimer.html

Medicaid

NC Medicaid Division of Health Benefits: https://www.medicaid.nv.gov/

NC Medicaid Division of Health Benefits Fee Schedule  https://ncdhhs.servicenowservices.com/fee_schedules

NC Medicaid Division of Health Benefits Provider Enrollment https://medicaid.ncdhhs.gov/providers/provider-enrollment

Practice Options

Perform extremity adjustments? Y
Provide nutritional advice? Y
Provide manipulation under anesthesia? N/A
Provide school enrollment exams? Y
Provide sports physical exams? N1
Provide provide return to play exams (including concussion protocol) for sports participation? N
Perform US Department of Transportation exams? Y2
Treat animals? N/A
Perform acupuncture? Y3
Perform dry needling? Y4
Perform intraoral TMJ treatments? Y
Perform internal coccyx adjustments? Y
Are there limits to body areas DCs are allowed to examine and/or treat? Y5
Are there limits on diagnostic tools DCs are allowed to use? N
Perform venipuncture? N/A
Perform casting? N

Qualifications:

1. There is a state rule that public school athletic examinations be performed and signed by a MD, PA or Nurse Practitioner.

2. A chiropractor can perform a Department of Transportation (DOT) physical exam if they are a certified medical examiner (CME) listed on the Federal Motor Carrier Safety Administration’s (FMCSA) National Registry.

3. Yes, chiropractors in North Carolina can perform acupuncture after completing the required education and certification.

4. Yes, licensed chiropractors in North Carolina can perform dry needling if they have completed the required training.

5. Chiropractors in North Carolina are not permitted to: Prescribe or administer medicine or drugs and Practice osteopathy or surgery. Link: https://www.ncchiroboard.com/wp-content/uploads/2018/03/Guidelines-for-Practice-of-Chiro-in-NC.pdf

General Statutes & Regulations For All Healthcare Providers