Individual provider Active NPI

Charles E Suber, DC

  • Chiropractor
  • Morganton, NC
National Provider Identifier
1114109188
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2859 Issued in NC
Practice address
317 Sanford Dr
Morganton, NC 28655-2573
Phone
(828) 433-7611
Fax
(828) 433-7616
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 2859 NC Primary

Addresses

Primary practice location

317 Sanford Dr
Morganton, NC 28655-2573

Mailing address

317 Sanford Dr
Morganton, NC 28655-2573
Phone (828) 433-7611

Other identifiers 2

IdentifierTypeStateIssuer
085ACOtherNCBCBS
89085ACMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000233 NC Practitioner - Chiropractic 3072655281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonedocs PLLCGroup PAC ID 0648589812, 2 clinicians

Practice addresses (Care Compare)

9718 Sam Furr Rd
Unit D
Huntersville, NC 28078-4929
Phone (704) 896-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2859NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bones P.a. Chiropractor CurrentSince Feb 13, 2017 Accepting new patients
Bonedocs PLLC Chiropractor CurrentSince Feb 13, 2017 Accepting new patients

Locations

9718 Sam Furr Rd
Unit D
Huntersville, NC 28078
Phone (704) 449-0709

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1114109188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SANFORD DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552573",
            "telephone_number": "828-433-7611",
            "fax_number": "828-433-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SANFORD DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552573",
            "telephone_number": "828-433-7611",
            "fax_number": "828-433-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBER",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085AC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085AC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.