Active NPI
Paul Calvin Wells, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1043280571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2415
- Practice address
- 1001 E WT Harris Blvd
Suite G
Charlotte, NC 28213-4104 - Phone
- (704) 547-9494
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2415 | NC | Primary |
Addresses
Primary practice location
1001 E WT Harris Blvd
Suite G
Charlotte, NC 28213-4104
Mailing address
1001 E WT Harris Blvd
Suite G
Charlotte, NC 28213-4104
Phone (704) 547-9494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606928 | Other | NC | UHC PROVIDER NO. |
| 085NY | Other | NC | BCBS PROVIDER NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1043280571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E WT HARRIS BLVD",
"address_2": "SUITE G",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134104",
"telephone_number": "704-547-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E WT HARRIS BLVD",
"address_2": "SUITE G",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134104",
"telephone_number": "704-547-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "PAUL",
"middle_name": "CALVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PROVIDER NO.",
"identifier": "606928",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO.",
"identifier": "085NY",
"state": "NC"
}
],
"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 Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.