Jaffe Chiropractic Clinic Inc PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3453 Issued in NC

Legal business name

JAFFE CHIROPRACTIC CLINIC INC PA

Practice address

3230 Prosperity Church Rd
Suite 203
Charlotte, NC 28269-8251

Phone

(704) 971-3275

Fax

(704) 971-3276

NPI assigned

Nov 3, 2006

Last updated

May 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Glenn Jaffe, D.C.NPI 1265533061

Title

President

Phone

(704) 971-3275

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Glenn Jaffe, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1265533061
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1053490680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 PROSPERITY CHURCH RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698251",
            "telephone_number": "704-971-3275",
            "fax_number": "704-971-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 PROSPERITY CHURCH RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698251",
            "telephone_number": "704-971-3275",
            "fax_number": "704-971-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFE CHIROPRACTIC CLINIC INC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-971-3275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaded Joy Enterprises LLC
• Kerrith Lyn Jaeckel, M.D.
• Jaeda Jordan LLC
• Jaesan PC (SpeechWorks Therapy Services)
• Saeid Jafar-Pour, DDS
• Seth L Jaffe, DO
• Stephen Glenn Jaffe, D.C.
• Megan Helena Jagosky, MD
• Shayan Jahanpanah
• Jaija Homes

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.