Organization Active NPI

Race City Family Chiropractic, PLLC

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1164807137
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4561 Issued in NC
Legal business name
RACE CITY FAMILY CHIROPRACTIC, PLLC
Practice address
131 Crosslake Park Dr Ste 101
Mooresville, NC 28117-8234
Phone
(843) 267-3202
NPI assigned
Jul 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. Autumn Shay Jones, D.C., B.S, B.S.
Title
Owner
Phone
84326732002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4561 NC Primary

Addresses

Primary practice location

131 Crosslake Park Dr Ste 101
Mooresville, NC 28117-8234

Mailing address

131 Crosslake Park Dr Ste 101
Mooresville, NC 28117-8234

National Provider Directory

National Provider Directory

Locations

131 Crosslake Park Dr
Ste 101
Mooresville, NC 28117
Phone (704) 360-9795

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1164807137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CROSSLAKE PARK DR STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CROSSLAKE PARK DR STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178234",
            "telephone_number": "843-267-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACE CITY FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "SHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "84326732002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., B.S, B.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.