Individual provider Active NPI

Natalie Sylvia Otoya, STUDENT

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1043458557
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3701 Issued in SC
Practice address
2327 Shenandoah Ave.
Charlotte, NC 28205
Phone
(703) 593-1906
NPI assigned
Jan 22, 2009
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3701SCMDOccupational Therapist
4297NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Demaine Chiropractic &Wellnes Center PA Chiropractor CurrentSince Aug 20, 2012 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.

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.

Verify at the official NPI Registry.