Individual provider Active NPI

Austin Gerard Faccone, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1063615532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2707 Issued in NC
Practice address
201 West Arrowood Road
Suite Ee
Charlotte, NC 28217
Phone
(704) 565-4999
Fax
(704) 334-7059
NPI assigned
Jun 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2707 NC Primary

Addresses

Primary practice location

201 West Arrowood Road
Suite Ee
Charlotte, NC 28217

Mailing address

201 West Arrowood Road
Suite Ee
Charlotte, NC 28217
Phone (704) 565-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000907 NC Practitioner - Chiropractic 8820182892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care One Chiropractic, P.C. Chiropractor CurrentSince Sep 15, 2007 Accepting new patients

Locations

201 W Arrowood Rd
Ste Ee
Charlotte, NC 28217
Phone (704) 565-4999

Interoperability endpoints

  • Direct secure messaging: austin.faccone@direct.southernstateschiro.nchie.net

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063615532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WEST ARROWOOD ROAD",
            "address_2": "SUITE EE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28217",
            "telephone_number": "704-565-4999",
            "fax_number": "704-334-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WEST ARROWOOD ROAD",
            "address_2": "SUITE EE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28217",
            "telephone_number": "704-565-4999",
            "fax_number": "704-334-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCONE",
        "first_name": "AUSTIN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2707",
            "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 Jul 8, 2007; 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.