Frequently Asked Questions

How do I apply?

How do I apply? For Doctors of Chiropractic click here. For Chiropractor Assistant’s ‘s click here. For X-ray Technicians click here.

What are the requirements for taking the NC Board licensure examination?

Baccalaureate degree, D.C. Degree from a CCE accredited college with completion of a minimum of 4200 hours. DC’s graduated 7/1/1997 – Present must have successful completion of parts I,II,& III (including physiotherapy), and IV of the National Board. (GS 90-143, Administrative codeT21:10 .0203) Please review the DC Application process for required scores.


When can I take the Board examination for licensure?

A North Carolina Jurisprudence test is given to all eligible candidates the fourth Saturday in January, April, July and October each year. All applications and credentials must be in the office of the secretary 15 days prior to the examination. (Administrative code, T21:10.0202(c), .0203(b))


Where is the Board office?

363 Church Street N, Suite 250-R, Concord, NC 28025

Do I Have to have a B.S. degree?

The requirement is for any baccalaureate degree not specifically a B.S. (GS 90-143 (b)(2))


Do you have reciprocity agreements with other states?

NC offers an application to those license holders from states whose licensing requirements are equal to or greater than those of NC. A reciprocity form of verification must be completed by the chiropractic examiners office from the state from which you are applying.(GS 90-143.1).


Does the baccalaureate degree have to be issued prior to graduation from chiropractic college?

No, but it must be conferred prior to being eligible for licensure. (GS 90-143 (b)(2))


Who are the Board members?

The Board consists of eight members appointed by the governor and the General Assembly. Click here to read about the board.


Will I be able to review my tests?

Yes, but you may not review with an examiner. A review of the examination must be submitted within 20 days of notification Administrative codeT21:10.0203(f))


How much does it cost to take the exam?

$300.00 (GS 90-149)


Will the board review their scoring of my tests?

Yes, after receiving a timely written request. (Administrative code T21:10.0203(f))


Will you accept my foreign credentials?

Only if the undergraduate education was received from an institution accredited by an agency recognized by the U. S. Department of Education and the Chiropractic education was received in a college recognized by the C.C.E. or its equivalent. (>GS 90-143 (b)(2,3)).


How much continuing education does a DC need to renew their license each year?

Two (2) days, which has been defined as 18 hours, of approved education (GS 90-155, Administrative code T21:10.0205 (c)(1)) View CE Requirements.


What is acceptable continuing education?

Continuing education must be approved by the board for DC’s, CA’s, and XT’s.  Continuing education is postgraduate education that deals with information that is within the scope of chiropractic (excluding practice building, insurance, etc.) as related specifically to each license or registration. Seminars must be reviewed and approved by the board. Practice Management programs are not approved. For the CE Approval Process click here.


Must I renew my license each year?

Yes, DC’s and XT’s must renew annually on or before the first Tuesday after the first Monday in January in each year after a license has been issued. (GS 90-155) Certificates or proof that annual CE requirements have been met must be received by the board office by December 31.   Annual CE’s taken and renewal payment are required to qualify for the next year’s renewal.

Can I get an inactive license?

A doctor that is retired and does not treat any patients may keep an active license without license renewal education (CE) as long as the renewal fee is paid. (GS 90-155)  To return to active status (treat patients) they must prove competency to the board before they are reactivated.


How do I renew my license or registration?

Chiropractors (DC)  and X-ray Technicians (XT) renew annually.  Certified Chiropractors Assistants (CCA) renew every three years. You will renew your license or registration through the gateway. Click here to login. You will also be able to view your license/registration expiration date, your CE credits received, as well as print or save your license/certificate. For tech support, please email


If my license is lapsed, how do I get them reactivated?

By making application and successfully completing  the SPEC examination of the National Board and NC Jurisprudence examination (Administrative code T21:10.0205(e))


When can a successful candidates begin to practice after the exam?

As quickly as they are notified that they were successful on the exam and given a license number.


Is there an exam for reciprocity candidates?

Reciprocity candidates must complete the application process. Click here to view the DC Application process

Can I get a license or registration any time during the year?

A license or registration may be obtained after meeting the application requirements and passing the scheduled exams in January. April, July and October.

What part of my record shows on the website licensee lookup?

Name, license number, initial license date, expiration date, license status, and any final agency decision regarding individual files. Click here to view your status.

How can I get a copy of the rules and regulations for chiropractic in NC?

Rules and regulations are available on our website. Click here.


Are chiropractors considered expert witnesses in NC?

Yes. (GS 90-157.2)


Can chiropractors practice in hospitals?

Yes. (GS 90-145)

Can chiropractors certify to disability?

Yes, within the scope of chiropractic practice. (GS 58-50-30)

Must I have taken all parts of the National Board before I can apply to NC?

Yes, as defined in the DC the application process. Section 5. National Board Requirements for NC Applicants. (T21:10.0203(c))

Will I need to submit proof of education in physiotherapy?

No verification of education is necessary, however, successful completion the National Board’s test in physiotherapy must be submitted.

How long after the exam will it be before I get my results?

Results are submitted to candidates as quickly as possible. Usually within a thirty (30) day period following the examination. Results cannot be given until SBI background check results are received by NCBOCE.

How do I find out what license renewal education is approved by the NC board?

Approved education will be displayed on this website. Click here for DCXT, and CA

Can I use acupuncture in my chiropractic practice?

Yes, acupuncture may be practiced under the DC license after required education and certification has been completed. However, a Doctor of Chiropractic may not hold themselves out to be acupuncturists unless they have also passed the State Acupuncture Board exam and meet their licensure requirements.

Can a doctor of chiropractic utilize physical therapy modalities in their practice?

Yes, however, the chiropractor may not advertise himself as a physical therapist unless they have also passed the state Physical Therapy board examination and meet their licensure requirements.


What state or federal business numbers and/or registrations do I need to practice?
  • A State privilege license is necessary, and may be obtained from the North Carolina Department of Revenue
  • A Federal ID number should be obtained from the Internal Revenue Service.
  • An NPI# should be obtained
  • Other billing and provider numbers may be applicable depending upon ones practice intentions.
Do I need to contact the board when I incorporate my office?

Yes, there are forms which must be executed by the Board prior to submission to the Secretary of State. Click here.

Can I advertise “free services” or “reduced rate” services?

Yes. However, the advertisement must include the appropriate disclaimer as required by GS 90-154.1(b) and also the usual fee for the service being offered at a free or reduced rate. (GS 90-154(b)(13)). Click here.

Can I refer my patients to a massage therapist?

Yes. Further, when these activities are billed from a chiropractic office, the massage therapists must be an employee of the chiropractic physician.

Does an employee have to have more than on the job training to take x-rays in a chiropractic office?

Yes, all employees of a chiropractic office who perform activities involving the production of X-rays must complete a 50-hour course approved by the Board. Further, they must pass a proficiency examination administered under the authority of the Board. (GS 90-143.2, Administrative code T21:10.0203(d))  Click here for the application process.

Does NC accept the SPEC exam in place of the State exam?

No.  The SPEC exam (of the National Board) is accepted for specific candidates providing all other requirements are in order.

Can I be licensed anytime if I have an acceptable score on Part IV?

No.  License are issued only after scheduled exam times.


Does the State have a “grandfather clause” for those who do not have all parts of the National Board?

Yes. 21 NCAC 10.0203. Yes, as defined in the DC the application process. Section 5. National Board Requirements for NC Applicants.

When will license renewal applications be mailed?

Renewal application notifications will be emailed in 2016 for the 2017 license year. Renewal emails will indicate that you need to renew through the gateway.  If you are unable to login, please email the board office at

What is the fax number?

(704) 793-1385


How often does the Board meet?

Quarterly, or at other times when warranted.


How long are applications kept on file?

Applications filed with the Board and the candidate fails to appear for the examination process will be held at the Board office for a period of two (2) years after which they will be disposed of.


Can I practice under another chiropractic physician’s license until I am licensed? What am I allowed to do?

An individual may not practice chiropractic until a license has been issued. However, an individual may be employed by a licensed chiropractic physician. Activities such as the production of x-rays may be performed, but, the employee may not interpret them. Examinations may be performed, but the employee may not offer a diagnosis. The utilization of physical therapy modalities is permissible providing it is under the supervision of the licentiate. No manipulations should be performed by an unlicensed individual.


Can chiropractors do physical exams for schools?

It is within the scope of chiropractic to perform physical examinations.  However,  there is a state rule that school examinations be performed and signed by a MD, PA or Nurse Practitioner

What procedures are necessary to participate in a preceptorship program?

North Carolina is not participating in preceptorship programs at this time.


If I have a NC license, but practice elsewhere, do the seminars I attend have to be approved?

All education must be approved. If the State in which the licentiate practices approves the seminars, NC will accept the approval. When practicing in North Carolina, education must be approved by the NC Board.

How do I file a complaint against a chiropractic license holder?

Click here for the complaint process. Complete the complaint form as requested and have it notarized, sworn to and submitted to the board.

When should a chiropractic physician re-evaluate the appropriateness of care with established patient?

The physician should re-evaluate the appropriateness of further care after approximately 12 office visits or when deemed necessary by the Chiropractic physician.


How long do I keep patient records?

The North Carolina Medical Board published an informative position statement on this subject. Click here to read it.