NPIMap

Organization Active NPI

Indian Trail Specific Chiropractic Inc

Doing business as Carolinas Family Spine Center

  • Thermography Chiropractor
  • Indian Trail, NC
National Provider Identifier
1073528899
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thermography ChiropractorTaxonomy code 111NT0100X
License
3225 Issued in NC
Legal business name
INDIAN TRAIL SPECIFIC CHIROPRACTIC INC
Doing business as
Carolinas Family Spine Center
Practice address
14015 Independence Blvd Ste D
Indian Trail, NC 28079-9668
Phone
(704) 882-1488
Fax
(704) 882-1448
NPI assigned
Jul 30, 2006
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Corinne Easterling Weaver, D.C.NPI 1548276512
Title
President
Phone
(704) 882-1488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thermography Chiropractor 111NT0100X 3225 NC Primary

Addresses

Primary practice location

14015 Independence Blvd Ste D
Indian Trail, NC 28079-9668

Mailing address

14015 Independence Blvd Ste D
Indian Trail, NC 28079-9668
Phone (704) 882-1488

Other identifiers 1

IdentifierTypeStateIssuer
89015PPMedicaidNC

Other names 1

  • Carolinas Family Spine Center Doing business as

National Provider Directory

National Provider Directory

Locations

14015 E Independence Blvd
Ste D
Indian Trail, NC 28079
Phone (704) 882-1488

Practitioners & affiliated clinicians

Practitioners 4

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1073528899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 INDEPENDENCE BLVD STE D",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799668",
            "telephone_number": "704-882-1488",
            "fax_number": "704-882-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 INDEPENDENCE BLVD STE D",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799668",
            "telephone_number": "704-882-1488",
            "fax_number": "704-882-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN TRAIL SPECIFIC CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "EASTERLING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-882-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "NC",
            "license": "3225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015PP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Family Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.