Individual provider Active NPI

Caroline Maria Grosso, DO

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1205508611
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5389 Issued in NC
Practice address
5950 Fairview Rd Ste 218
Charlotte, NC 28210-3152
Phone
(704) 544-5353
Fax
(704) 544-5382
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5389 NC Primary

Addresses

Primary practice location

5950 Fairview Rd Ste 218
Charlotte, NC 28210-3152

Mailing address

3115 Ivydale Dr Ste 100
Charlotte, NC 28212-5730
Phone (607) 765-3610

Other practice location 1

8912 Blakeney Professional Dr Ste 100
Charlotte, NC 28277-6735
Phone (704) 544-5353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008001706 NC Practitioner - Chiropractic 2860890688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Sports Chiropractic PLLCGroup PAC ID 1254584659, 10 clinicians

Practice addresses (Care Compare)

5950 Fairview Rd
Suite 218
Charlotte, NC 28210-3104
Phone (704) 544-5353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Sports Chiropractic PLLC Chiropractor CurrentSince Oct 1, 2021 Accepting new patients
Rejuvenation Chiropractic PLLC Chiropractor CurrentSince Feb 1, 2024 Accepting new patients

Locations

6060 Piedmont Row Dr S
Ste 140
Charlotte, NC 28287
Phone (704) 544-5353

8912 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 544-5353

5950 Fairview Rd
Ste 218
Charlotte, NC 28210
Phone (704) 544-5353

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1205508611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 IVYDALE DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125730",
            "telephone_number": "607-765-3610",
            "fax_number": "704-544-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW RD STE 218",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103152",
            "telephone_number": "704-544-5353",
            "fax_number": "704-544-5382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8912 Blakeney Professional Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282776735",
            "country_code": "US",
            "telephone_number": "704-544-5353",
            "fax_number": "704-544-5382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSO",
        "first_name": "CAROLINE",
        "middle_name": "MARIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5389",
            "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 Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.