Active NPI
Natalie Sylvia Otoya, STUDENT
- Chiropractor
- Charlotte, NC
National Provider Identifier
1043458557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3701
- Practice address
- 2327 Shenandoah Ave.
Charlotte, NC 28205 - Phone
- (703) 593-1906
- NPI assigned
- Jan 22, 2009
- Last updated
- Jul 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4297 | NC | |
| Chiropractor | 111N00000X | 3701 | SC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2327 Shenandoah Ave.
Charlotte, NC 28205
Mailing address
2327 Shenandoah Ave
Charlotte, NC 28205-6025
Phone (703) 593-1906
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3701 | SC | MD | Occupational Therapist |
| 4297 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demaine Chiropractic &Wellnes Center PA | Chiropractor | Current | Accepting new patients |
Locations
504 Eastway Dr
Charlotte, NC 28205
Phone (704) 372-6960
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Charlotte, NC
- NPI 1255367397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1043458557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 SHENANDOAH AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056025",
"telephone_number": "703-593-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2327 SHENANDOAH AVE.",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28205",
"telephone_number": "703-593-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTOYA",
"first_name": "NATALIE",
"middle_name": "SYLVIA",
"credential": "STUDENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4297",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3701",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.