Organization Active NPI

Southern States Chiropractic

  • Health Service Clinic/Center
  • Charlotte, NC
National Provider Identifier
1053515460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1647 Issued in NC
Legal business name
SOUTHERN STATES CHIROPRACTIC
Practice address
1319 The PLZ
Charlotte, NC 28205-3427
Phone
(704) 375-3218
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dean O'Hare, D.C.
Title
President
Phone
(704) 375-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1647 NC Primary

Addresses

Primary practice location

1319 The PLZ
Charlotte, NC 28205-3427

Mailing address

1319 The PLZ
Charlotte, NC 28205-3427
Phone (704) 375-3218

National Provider Directory

National Provider Directory

Locations

1319 The Plaza
Charlotte, NC 28205
Phone (704) 375-3218

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053515460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053427",
            "telephone_number": "704-375-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053427",
            "telephone_number": "704-375-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN STATES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'HARE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-375-3218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "1647",
            "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 Aug 22, 2020; 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.