Active NPI
Susan Gail Chandler, D.C.
- Chiropractor
- Matthews, NC
National Provider Identifier
1194801779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1517
- Practice address
- 1340 Matthews Township Pkwy Ste 103
Matthews, NC 28105-4681 - Phone
- (704) 845-8499
- Fax
- (704) 845-5321
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1517 | NC | Primary |
Addresses
Primary practice location
1340 Matthews Township Pkwy Ste 103
Matthews, NC 28105-4681
Mailing address
PO Box 835
Matthews, NC 28106-0835
Phone (704) 845-8499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121120000202 | NC | Practitioner - Chiropractic | 9638320724 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1517 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1194801779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 835",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281060835",
"telephone_number": "704-845-8499",
"fax_number": "704-845-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 MATTHEWS TOWNSHIP PKWY STE 103",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054681",
"telephone_number": "704-845-8499",
"fax_number": "704-845-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "SUSAN",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
- Center for Wellness, PA
- Michael Anthony Cerasaro II, DO
- Chai Clinical Concepts, PLLC
- Ronea Harris Chambers, M.D.
- Chandler Chiropractic Center, P.a.
- Heather Rose Chapman, FNP-BC
- Mark R Chapman Jr., COF
- Eugene Thomas Chaput, D.C.
- Charles J Schein DDS Xiii, PA (Schein Dental)
- Charlotte Counseling Collective
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.