NPIMap

Organization Active NPI

Carolinas CC Chiropractic PLLC

  • Chiropractor
  • Waxhaw, NC
National Provider Identifier
1205166808
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3828 Issued in NC
Legal business name
CAROLINAS CC CHIROPRACTIC PLLC
Practice address
101 Waxhaw Professional Park Dr.
Suite D
Waxhaw, NC 28173-9112
Phone
(704) 243-1010
Fax
(704) 243-1617
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Dr. Kyle Brandon Jones, DCNPI 1255501656
Title
Clinic Director
Phone
(704) 243-1010

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 3828 NC Primary

Addresses

Primary practice location

101 Waxhaw Professional Park Dr.
Suite D
Waxhaw, NC 28173-9112

Mailing address

101 Waxhaw Professional Park Dr.
Suite D
Waxhaw, NC 28173-9112
Phone (704) 243-1010

Other names 1

  • Carolinas Chiropractic and Spinal Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000755 NC Part B Supplier - Clinic/Group Practice 5991847949 Receives reassigned benefits from 5 practitioners
Practice locations: Pineville, NC; Waxhaw, NC

National Provider Directory

National Provider Directory

Locations

11940 Carolina Place Pkwy
Ste 102
Pineville, NC 28134
Phone (704) 243-1010

101 Waxhaw Pkwy
#G
Waxhaw, NC 28173
Phone (704) 243-1010

101 Waxhaw Pkwy
Ste D
Waxhaw, NC 28173
Phone (704) 243-1010

101 Waxhaw Professional Park Dr
Ste G
Waxhaw, NC 28173

Practitioners & affiliated clinicians

Practitioners 5

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": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1205166808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WAXHAW PROFESSIONAL PARK DR.",
            "address_2": "SUITE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739112",
            "telephone_number": "704-243-1010",
            "fax_number": "704-243-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WAXHAW PROFESSIONAL PARK DR.",
            "address_2": "SUITE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739112",
            "telephone_number": "704-243-1010",
            "fax_number": "704-243-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS CC CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "704-243-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Chiropractic and Spinal Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.