Active NPI
Keith Theodore Helmendach, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1124186200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1833
- Practice address
- 7215 Lebanon Rd
A
Charlotte, NC 28227 - Phone
- (704) 573-7161
- Fax
- (704) 573-7161
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1833 | NC | Primary |
Addresses
Primary practice location
7215 Lebanon Rd
A
Charlotte, NC 28227
Mailing address
6520 Gold Wagon LN
Charlotte, NC 28227
Phone (704) 545-0429
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890850G | Medicaid | NC | |
| 08959 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helmendach Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| Trinity Medical Center P.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Charlotte, NC
- NPI 1265624308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124186200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 GOLD WAGON LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28227",
"telephone_number": "704-545-0429",
"fax_number": "704-545-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7215 LEBANON RD",
"address_2": "A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28227",
"telephone_number": "704-573-7161",
"fax_number": "704-573-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELMENDACH",
"first_name": "KEITH",
"middle_name": "THEODORE",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890850G",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08959",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.