Michael J Carlisle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2388 Issued in NC

Practice address

5306 South Boulevard
Charlotte, NC 28217-4116

Phone

(704) 525-0026

Fax

(704) 525-9189

NPI assigned

Oct 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carlisle Chiropractic Clinic

  • Chiropractor
  • Charlotte, NC
  • NPI 1073686945
  Medicare reassignment NPD

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1225217250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 SOUTH BOULEVARD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174116",
            "telephone_number": "704-525-0026",
            "fax_number": "704-525-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 SOUTH BOULEVARD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174116",
            "telephone_number": "704-525-0026",
            "fax_number": "704-525-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890827T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0827M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlisa Laniece, LLC
• Carlisle Chiropractic Clinic
• Carlisle Chiropractic Clinic East
• Christopher Anthony Carlisle
• Dora Carlisle
• Mitali Chitre Carlisle, DMD, MS
• Olivia Rosemary Carlisle
• Tuquester L. Carlisle, LPC
• Chelsea Breanne Carlock
• Timothy Andrew Carlon, MD

• 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 Oct 26, 2007; 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.