Individual provider Active NPI

Marcus Otto Schuster, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1043268139
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3205 Issued in NC
Practice address
5200 Park Rd Ste 117
Charlotte, NC 28209-3669
Phone
(704) 561-9494
Fax
(704) 561-9595
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3205 NC Primary

Addresses

Primary practice location

5200 Park Rd Ste 117
Charlotte, NC 28209-3669

Mailing address

5200 Park Rd Ste 117
Charlotte, NC 28209-3669
Phone (704) 561-9494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000118 NC Practitioner - Chiropractic 4789602897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5200 Park Rd
Suite 117
Charlotte, NC 28209-3669
Phone (704) 561-9494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3205NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Schuster Chiropractic Offices PA Chiropractor CurrentSince Jul 28, 2005 Accepting new patients
Pizza Clinic of Chiropractic Chiropractor PastSince Aug 2, 2017 Accepting new patients
Jangracyn Chiropractic, PC Chiropractor PastSince Aug 2, 2020 Accepting new patients
Ammons Chiropractic PC Chiropractor PastSince Aug 1, 2009 Accepting new patients
Brittian Chiropractic Charlotte, PLLC Chiropractor PastSince Mar 12, 2023 Accepting new patients

Locations

4832 Park Rd
Ste J
Charlotte, NC 28209
Phone (704) 561-9494

5200 Park Rd
Ste 117
Charlotte, NC 28209
Phone (704) 561-9494

Organizations & group practices 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1043268139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARK RD STE 117",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093669",
            "telephone_number": "704-561-9494",
            "fax_number": "704-561-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK RD STE 117",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093669",
            "telephone_number": "704-561-9494",
            "fax_number": "704-561-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSTER",
        "first_name": "MARCUS",
        "middle_name": "OTTO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3205",
            "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 Jan 19, 2023; 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.