Eastwind Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1394 Issued in NC

Legal business name

EASTWIND CHIROPRACTIC CENTER

Practice address

9929 Albemarle Rd
Ste 3B
Charlotte, NC 28227-3371

Phone

(704) 545-7410

Fax

(980) 939-6336

NPI assigned

Aug 17, 2011

Last updated

Aug 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Mathew Innis, D.C.NPI 1881764082

Title

Chiropractor

Phone

(704) 545-7410

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Mathew Innis, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1881764082
  NPD (past) Authorized official
• Robert Mathew Innis, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1861771255
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1225318611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9929 ALBEMARLE RD",
            "address_2": "STE 3B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273371",
            "telephone_number": "704-545-7410",
            "fax_number": "980-939-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 ALBEMARLE RD",
            "address_2": "STE 3B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273371",
            "telephone_number": "704-545-7410",
            "fax_number": "980-939-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWIND CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "INNIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "704-545-7410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908353",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eastowne Family Physicians, P.a
• Tracy Lynn Eastridge, RD
• Eastway Medical Clinic & Urgent Care, PLLC
• Cynthia Eaton, NP
• Eatquilibrium LLC
• Shakira Ebanks, HAIR LOSS SPECIALIST
• Ebb and Flow Wellness, PLLC
• Jackson Baker Eber, 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 Aug 17, 2011; 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.