Our mission: To protect the public by promoting excellence in chiropractic regulation through service to our member boards

Our vision: The FCLB is the premier international resource for information and consolidated services for ensuring the safe, ethical practice of chiropractic


District 5
License Date:   N/A
FCLB Member:   Yes
License Verification:   
Regulatory Language:   
The Federation does not provide interpretation of the scope of practice laws or rules of any chiropractic licensing authority, nor can we provide specific details regarding licensing requirements. The educational and testing requirements for each State or Province set forth in this Directory are intended as a general guide. It is strongly recommended that anyone interested in becoming licensed in a particular State or Province contact the Board office or the Secretary of the respective board to secure current and complete details before matriculating in any school.


(Contact State for precise definition by state law)
The science of adjusting the cause of disease by realigning the spine, releasing pressure on nerves radiating from the spine to all parts of the body, and allowing the nerves to carry their full quota of health current (nerve energy) from the brain to all parts of the body. Any person obtaining a license from the Board of Chiropractic Examiners shall have the right to practice the science known as Chiropractic, in accordance with the method, thought and practice of Doctors of Chiropractic, as taught in recognized chiropractic schools and colleges, but shall not prescribe for or administer to any person any medicine or drugs, nor practice osteopathy or surgery. Licensed Doctors of Chiropractic may practice in public hospitals. A licensed Doctor of Chiropractic may have access to and practice chiropractic in any hospital or sanitarium in this state that receives aid or support from the public, and shall have access to diagnostic x-ray records and laboratory records relating to the Doctor of Chiropractic's patients. Free choice by the patient is guaranteed. No agency of the State, County, or Municipality, nor any commission or clinic, nor any Board administering relief, social security, health insurance or health service under the laws of the State of North Carolina shall deny to the recipients or beneficiaries of their aid or services the freedom to choose a duly licensed Doctor of Chiropractic as a provider of care or services which are within the scope of practice of the profession of Chiropractic as defined in this chapter. A Doctor of Chiropractic, for all legal purposes, shall be considered an expert in his field and when properly qualified, may testify in a court of law as to etiology, diagnosis, prognosis, and disability, including anatomical, neurological, physiological, and pathological considerations within the scope of Chiropractic.

Board Notes

Contact Info

Board Administrator:    Dr. Joe Siragusa | Executive Director
Legal Advisor:    |
Support Staff:   Lisa Hicks-Jones | Investigator
Additional Support Staff:   John Riggleman, Licensing Specialist
Email Address:
Phone:   (704) 793-1342
Phone Extension:   
Fax:   (704) 793-1385
Fax For Application:   No
Street Address:   9121 Anson Way Suite 200
Street Address Cont:   
City:   Raleigh
State:   NC
Zipcode:   2761
Time Zone:   Eastern

Application Info

Required Licenses:    Chiropractic
Application Deadline:   15 days prior to exam
Application Fee:   $300
Application Notes:   
Term:   Annual
Term Notes:   Renew by January 1st
Jurisprudence Exam Dates:   Rolling on-demand when qualified
Exam Fee:   $300 (plus $38 SBI background check fee)
Exam Fee Notes:   
Initial License Fee:   
Initial License Fee Notes:   
License Renewal Fee:   $300
Criminal Background Check:   Yes
Criminal Background Check Notes:   
Fingerprinting:   Yes
Fingerprinting Notes:   

Education Info

Minimum Years Pre Professional Education:   0
Bachelor Degree Required:   Yes
Accreditation For Chiropractic Programs:   Council on Chiropractic Education
Accreditation Notes:   
Special Requirements For Graduates Of Foreign Colleges:   All transcripts must be transcribed in the English language. Contact Board for specific information.

Student Practice Info

May Sit for Board Exam Prior To Graduation:   Yes
Supervised Practice:   None
Supervised Practice Required:   No
Supervised Practice Notes:    § 90-142.1. Supervised training programs:

Examinations Info

Exams Administered By State:
State or provincial laws and rules / Jurisprudence
NBCE Part 1:   Required
NBCE Part 2:   Required
NBCE Part 3:   Required
NBCE Part 4:   Required
NBCE Physiotheraphy:   Required
NBCE Acupuncture:   Accepted
NBCE Spec:   Required
SPEC Notes:   SPEC: Reciprocity: Required
Reinstatement Lapsed License: Required (>180 days)
Disciplinary Cases: Possible
Impairment Review: Possible

NBCE Acupuncture exam required beginning 1/1/2023

Certifications Info

Optional Certifications:
Certified Chiropractic Assistants: (CCA): Two levels of certification:
CCA Level I – Clinical
CCA Level II - Xray.
Physiotherapy Termed:   Physiological Therapeutics
Physiotherapy Certification:   Included in Chiropractic License
Physiotherapy Education:   No specific requirements
Physiotherapy Exam:   NBCE Physiotherapy Exam or Equivalent State Exam
Physiotherapy Fee:   None
Board Regulates Specialty Council Certification:   No

License Portability Info

Condition For Reciprocity Endorsement:    states whose requirements are at least equivalent to North Carolina, active, competent practitioner in good standing, practiced at least one year in past three years preceding application in the state from which reciprocity is requested. $300 fee and requires SPEC.

Telemedicine practices: See position statement
Board Permits And Authorizes Travel To Treat:   No
Board Permits And Authorizes Telemedicine Practices:   No

Additional Info

Licensees Required To Carry Malpractice Insurance:   No
Malpractice Notes:   
Peer Review:   No
Legally Accepted Terms for Chiropractor:   DC, Chiropractic Physician, Chiropractor
Chiropractors Defined As Primary Care Physicians:   No

Chiropractic Therapy Assistants Info

Regulated:   Yes

Continuing Education Info

Required Hours Per Year:   18 per year: 10 in person
Distance Hours Allowed Per Year:   8
Required Subjects:   None
Additional Requirements And Information For CE:   Program Criteria: Board approves both sponsor and program via rule 21 NCAC 10.0207.
Additional CE Information:   via rule 21 NCAC 10.0207
Additional Accepts PACE:   Accepts PACE

Regulatory Board Members

Christopher Outten, D.C.
Todd Shaver, D.C.
Vice President
Kimberly Quarles Swintosky
John Hammer, D.C.
Thomas Mitchell, D.C.
Board Member
Thomas Ayres III, D.C
Board Member
Joe Democko, D.C.
Board Member
Tiffany L. Jones
Board Member

Statistical Info

Current As Of Date:   2023
Active Licenses:   2,451
Inactive Licenses:   
New Licenses:   107
Resident Licenses:   
Retired Licenses:   
Other Status Licenses:   
Chiropractic Assistants:   
Statistical Notes: