Active NPI
Jonathan Neal Colter, D.C.
- Chiropractor
- Huntersville, NC
National Provider Identifier
1164400065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2012
- Practice address
- 102 N Statesville Rd
Huntersville, NC 28078-6076 - Phone
- (704) 875-9800
- NPI assigned
- Jan 3, 2006
- Last updated
- Jun 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 2012 | NC | Primary |
Addresses
Primary practice location
102 N Statesville Rd
Huntersville, NC 28078-6076
Mailing address
102 N Statesville Rd
Huntersville, NC 28078-6076
Phone (704) 875-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890824F | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan N Colter | Chiropractor | Past | Accepting new patients |
| Live Well Family Chiropractic Centers, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Huntersville, NC
- NPI 1447498696
-
dba Live Well Chiropractic
- Chiropractor
- Huntersville, NC
- NPI 1578710075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213401600000",
"number": "1164400065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N STATESVILLE RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786076",
"telephone_number": "704-875-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N STATESVILLE RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786076",
"telephone_number": "704-875-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLTER",
"first_name": "JONATHAN",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2008-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890824F",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.