Organization Active NPI

Marco Chiropractic, PLLC

  • Preferred Provider Organization
  • Charlotte, NC
National Provider Identifier
1093104044
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
3803 Issued in NC
Legal business name
MARCO CHIROPRACTIC, PLLC
Practice address
16607 Riverstone Way
Suite 100
Charlotte, NC 28277-5749
Phone
(704) 341-4118
Fax
(704) 341-4101
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. Stephen P Marco, D.C.
Title
Owner
Phone
(704) 341-4118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 3803 NC Primary

Addresses

Primary practice location

16607 Riverstone Way
Suite 100
Charlotte, NC 28277-5749

Mailing address

16607 Riverstone Way
Suite 100
Charlotte, NC 28277-5749
Phone (704) 341-4118

National Provider Directory

National Provider Directory

Locations

16143 Lancaster Hwy
Ste 102
Charlotte, NC 28277

16607 Riverstone Way
Ste 100
Charlotte, NC 28277
Phone (704) 341-4118

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1093104044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 RIVERSTONE WAY",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775749",
            "telephone_number": "704-341-4118",
            "fax_number": "704-341-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 RIVERSTONE WAY",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775749",
            "telephone_number": "704-341-4118",
            "fax_number": "704-341-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "MARCO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-341-4118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "3803",
            "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 Jan 14, 2015; 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.