Authentic Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

AUTHENTIC CHIROPRACTIC PLLC

Practice address

6425 W Wilkinson Blvd Ste H
Belmont, NC 28012-2873

Phone

(678) 756-0469

NPI assigned

Feb 7, 2024

Last updated

Apr 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel James Wilson, DCNPI 1760791214

Title

Owner/Chiropractor

Phone

(678) 756-0469

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel James Wilson, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1760791214
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1144084534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 W WILKINSON BLVD STE H",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122873",
            "telephone_number": "678-756-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 W WILKINSON BLVD STE H",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122873",
            "telephone_number": "678-756-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "678-756-0469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760791214",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Valantina Awah Nsoh, DNP
• Evelyn Maiers Bailey, RESPIRATORY THERAPY
• Jaclyn N Bajek, FNP
• Deborah Evelyn Baker, RPH
• Tracei Denise Ball, MD

• Chiropractor in Belmont, NC
• Providers in Belmont, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.