Active NPI
Eagle Chiropractic Clinic
- Chiropractor
- Charlotte, NC
National Provider Identifier
1184703449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1494
- Legal business name
- EAGLE CHIROPRACTIC CLINIC
- Practice address
- 6116 N Tryon St
Charlotte, NC 28213-7815 - Phone
- (704) 596-5800
- Fax
- (704) 509-6001
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul James Eagle, D.C
- Title
- Doctor
- Phone
- (704) 596-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1494 | IL | Primary |
Addresses
Primary practice location
6116 N Tryon St
Charlotte, NC 28213-7815
Mailing address
6116 N Tryon St
Charlotte, NC 28213-7815
Phone (704) 596-5800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08377 | Other | NC | BCBS ID |
| 18021 | Other | NC | PARTNERS ID |
| 8908377 | Medicaid | NC | |
| 330149 | Other | NC | ACN |
National Provider Directory
National Provider DirectoryLocations
6116 N Tryon St
Charlotte, NC 28213
Phone (704) 509-3090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1184703449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282137815",
"telephone_number": "704-596-5800",
"fax_number": "704-509-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282137815",
"telephone_number": "704-596-5800",
"fax_number": "704-509-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "EAGLE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "704-596-5800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "1494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "08377",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS ID",
"identifier": "18021",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908377",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "330149",
"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 Aug 20, 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.