Individual provider Active NPI

Gelareh Naenifard, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1215178025
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008611 Issued in GA
Practice address
130 N Sardis View LN
Charlotte, NC 28270-0946
Phone
(704) 839-6272
NPI assigned
Mar 9, 2009
Last updated
Jun 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008611 GA Primary
Chiropractor 111N00000X 3931 NC

Addresses

Primary practice location

130 N Sardis View LN
Charlotte, NC 28270-0946

Mailing address

130 N Sardis View LN
Charlotte, NC 28270-0946
Phone (704) 839-6272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008611GAMDChiropractor
3931NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1215178025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N SARDIS VIEW LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700946",
            "telephone_number": "704-839-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N SARDIS VIEW LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700946",
            "telephone_number": "704-839-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAENIFARD",
        "first_name": "GELAREH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008611",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3931",
            "primary": false
        }
    ],
    "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 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.