Individual provider Active NPI

Chandler Lynn Gregory, DC

  • Chiropractor
  • Shelby, NC
National Provider Identifier
1114757556
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5807 Issued in NC
Practice address
145 W Dixon Blvd
Shelby, NC 28152-6546
Phone
(704) 482-0135
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5807 NC Primary

Addresses

Primary practice location

145 W Dixon Blvd
Shelby, NC 28152-6546

Mailing address

145 W Dixon Blvd
Shelby, NC 28152-6546
Phone (704) 482-0135

Other practice location 1

528 Union Rd
Gastonia, NC 28054-4450
Phone (704) 867-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909003380 NC Practitioner - Chiropractic 4385184084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Chiropractic Group PLLCGroup PAC ID 7012280670, 5 clinicians

Practice addresses (Care Compare)

145 W Dixon Blvd
Shelby, NC 28152-6546
Phone (704) 482-0135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5807NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Chiropractic Group PLLC Chiropractor CurrentSince Aug 14, 2024 Accepting new patients
Carolina Chiropractic Group of Gastonia PLLC Chiropractor CurrentSince Aug 14, 2024 Accepting new patients

Locations

8821 University East Dr
Ste 120
Charlotte, NC 28213
Phone (704) 428-9006

528 Union Rd
Gastonia, NC 28054
Phone (704) 867-1010

145 W Dixon Blvd
Shelby, NC 28152
Phone (704) 482-0135

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1114757556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526546",
            "telephone_number": "704-482-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526546",
            "telephone_number": "704-482-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Union Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280544450",
            "country_code": "US",
            "telephone_number": "704-867-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "CHANDLER",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5807",
            "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 Aug 1, 2024; 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.