Charlotte Chiropractic Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3379 Issued in NC

Legal business name

CHARLOTTE CHIROPRACTIC CENTER PLLC

Practice address

1341 E Morehead St Ste 100
Charlotte, NC 28204-2937

Phone

(704) 940-7740

NPI assigned

Jun 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Edward Waltz, DCNPI 1386875284

Title

Owner

Phone

(704) 940-7740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Kyle Edward Waltz, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1386875284
  Medicare reassignment Authorized official
• Anthony Curtis Hambright II, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1427745843
  NPD

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1194175596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 E MOREHEAD ST STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042936",
            "telephone_number": "704-940-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 E MOREHEAD ST STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042937",
            "telephone_number": "704-940-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-940-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Cardiology Associates, P.a
• Charlotte Cdsa
• Charlotte Center for Balanced Living, P.a.
• Charlotte Center for Neuropsychological Services
• Charlotte Chiropractic and Rehab
• Charlotte Chiropractic Clinic, P.a.
• Charlotte Colon & Rectal Surgery Associates PA
• Charlotte Community Health Clinic Inc
• Charlotte Community Health Clinic, Inc.
• Charlotte Community Health Clinic, Inc.

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.