Organization Active NPI

Bowker Clinic of Chiropractic and Sports Medicine

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1104837350
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOWKER CLINIC OF CHIROPRACTIC AND SPORTS MEDICINE
Practice address
6911 Shannon Willow Rd Ste 400
Charlotte, NC 28226-1350
Phone
(704) 541-6400
Fax
(704) 541-4169
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Dr. Daniel S Bowker, D.C.NPI 1417968660
Title
Owner
Phone
(704) 541-6400

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6911 Shannon Willow Rd Ste 400
Charlotte, NC 28226-1350

Mailing address

6911 Shannon Willow Rd Ste 400
Charlotte, NC 28226-1350
Phone (704) 541-6400

Other identifiers 1

IdentifierTypeStateIssuer
0826AOtherNCBLUE CROSS BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000161 NC Part B Supplier - Clinic/Group Practice 3577720242 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

7005 Shannon Willow Rd
Ste 200
Charlotte, NC 28226
Phone (704) 541-6400

6911 Shannon Willow Rd
Ste 400
Charlotte, NC 28226
Phone (704) 541-6400

Practitioners & affiliated clinicians

Practitioners 2

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1104837350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261350",
            "telephone_number": "704-541-6400",
            "fax_number": "704-541-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261350",
            "telephone_number": "704-541-6400",
            "fax_number": "704-541-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWKER CLINIC OF CHIROPRACTIC AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "BOWKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-541-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0826A",
            "state": "NC"
        }
    ],
    "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 Sep 23, 2025; 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.