NPIMap

Organization Active NPI

Northlake Chiropractic PC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1174793780
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3690 Issued in NC
Legal business name
NORTHLAKE CHIROPRACTIC PC
Practice address
9325 Center Lake Dr Ste 150
Charlotte, NC 28216-0785
Phone
(704) 494-4250
Fax
(704) 494-4256
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Dr. Leslie Jeannette Macklin, DCNPI 1700892536
Title
President/Owner
Phone
(704) 494-4250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3690 NC Primary

Addresses

Primary practice location

9325 Center Lake Dr Ste 150
Charlotte, NC 28216-0785

Mailing address

9325 Center Lake Dr Ste 150
Charlotte, NC 28216-0785
Phone (704) 494-4250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1174793780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 CENTER LAKE DR STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160785",
            "telephone_number": "704-494-4250",
            "fax_number": "704-494-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 CENTER LAKE DR STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160785",
            "telephone_number": "704-494-4250",
            "fax_number": "704-494-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-494-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3690",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 16, 2011; 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.