Active NPI
Chiropractic Physicians of the Carolinas
- Chiropractor
- Shelby, NC
National Provider Identifier
1073922159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4192
- Legal business name
- CHIROPRACTIC PHYSICIANS OF THE CAROLINAS
- Practice address
- 513 S Dekalb St
Shelby, NC 28150-5926 - Phone
- (704) 406-9939
- Fax
- (704) 406-9940
- NPI assigned
- Aug 4, 2014
- Last updated
- Jan 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Heather Brooke Ellison, D.C.
- Title
- President
- Phone
- (704) 406-9939
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4192 | NC | Primary |
Addresses
Primary practice location
513 S Dekalb St
Shelby, NC 28150-5926
Mailing address
513 S Dekalb St
Shelby, NC 28150-5926
Phone (704) 406-9939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Shelby, NC
- NPI 1487935094
-
- Family Medicine Physician
- Shelby, NC
- NPI 1992303291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421366400000",
"number": "1073922159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 S DEKALB ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505926",
"telephone_number": "704-406-9939",
"fax_number": "704-406-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 S DEKALB ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505926",
"telephone_number": "704-406-9939",
"fax_number": "704-406-9940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC PHYSICIANS OF THE CAROLINAS",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-04",
"last_updated": "2015-01-16",
"status": "A",
"authorized_official_last_name": "ELLISON",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "BROOKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-406-9939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.