Organization Active NPI

Total Touch Chiropractic Wellness Center PA

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1194057976
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2491 Issued in NC
Legal business name
TOTAL TOUCH CHIROPRACTIC WELLNESS CENTER PA
Practice address
5200 Park Rd
Charlotte, NC 28209-3650
Phone
(704) 350-9990
Fax
(704) 350-9995
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Dr. Renee Gilmore, D.C.NPI 1548320484
Title
Owner
Phone
(704) 350-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2491 NC Primary

Addresses

Primary practice location

5200 Park Rd
Charlotte, NC 28209-3650

Mailing address

PO Box 19982
Charlotte, NC 28219-0982
Phone (704) 350-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100304000725 NC Part B Supplier - Clinic/Group Practice 3678618402 Receives reassigned benefits from 1 practitioner
Practice locations: Matthews, NC

National Provider Directory

National Provider Directory
Tax ID family
Total Touch Chiropractic Wellness Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

226 Baldwin Ave
Charlotte, NC 28204
Phone (704) 350-9990

119 S Trade St
Ste 108
Matthews, NC 28105
Phone (704) 350-9990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1194057976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19982",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282190982",
            "telephone_number": "704-350-9990",
            "fax_number": "704-350-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093650",
            "telephone_number": "704-350-9990",
            "fax_number": "704-350-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL TOUCH CHIROPRACTIC WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-350-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2491",
            "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 Jun 27, 2012; 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.