Active NPI
Cre Group Inc
- Chiropractor
- Cornelius, NC
National Provider Identifier
1033717541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CRE GROUP INC
- Practice address
- 19109 W Catawba Ave Ste 100
Cornelius, NC 28031-5611 - Phone
- (704) 237-4010
- NPI assigned
- Oct 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher R Ennis, DC
- Title
- Chiropractor
- Phone
- (864) 921-6726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
19109 W Catawba Ave Ste 100
Cornelius, NC 28031-5611
Mailing address
19109 W Catawba Ave Ste 100
Cornelius, NC 28031-5611
Phone (704) 237-4010
Other names 1
- Optimize Chiropractic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Cornelius |
National Provider Directory
National Provider DirectoryLocations
19109 W Catawba Ave
Ste 100
Cornelius, NC 28031
Phone (248) 331-7950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Oklahoma City, OK
- NPI 1518500834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602806400000",
"number": "1033717541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19109 W CATAWBA AVE STE 100",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315611",
"telephone_number": "704-237-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19109 W CATAWBA AVE STE 100",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315611",
"telephone_number": "704-237-4010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRE GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-16",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A",
"authorized_official_last_name": "ENNIS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "864-921-6726",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Cornelius",
"affiliation": "N",
"address_1": "19109 W Catawba Ave Ste 100",
"city": "Cornelius",
"state": "NC",
"country_code": "US",
"postal_code": "280315611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Optimize Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.