Individual provider Active NPI

Jeena Patel, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1023772233
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5382 Issued in NC
Practice address
4016 Triangle Dr
Charlotte, NC 28208-2828
Phone
(704) 941-4000
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5382 NC Primary

Addresses

Primary practice location

4016 Triangle Dr
Charlotte, NC 28208-2828

Mailing address

1100 South Blvd Apt 411
Charlotte, NC 28203-6520
Phone (732) 484-0785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103001986 NC Practitioner - Chiropractic 7315335726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Druzbik Family Chiropractic, Inc.Group PAC ID 0547157554, 2 clinicians

Practice addresses (Care Compare)

1835 Davie Ave
Suite 417
Statesville, NC 28677-3578
Phone (704) 878-9744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Druzbik Family Chiropractic, Inc. Chiropractor CurrentSince Oct 13, 2022 Accepting new patients

Locations

1835 Davie Ave
Ste 417
Statesville, NC 28677
Phone (704) 878-9744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1023772233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTH BLVD APT 411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036520",
            "telephone_number": "732-484-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 TRIANGLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082828",
            "telephone_number": "704-941-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JEENA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.