NPIMap

Organization Active NPI

Caitlin Wurtz P.L.L.C

Doing business as Revive Chiropractic

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1245898899
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAITLIN WURTZ P.L.L.C
Doing business as
Revive Chiropractic
Practice address
223 Williamson Rd Ste 102
Mooresville, NC 28117-6899
Phone
(980) 435-0094
NPI assigned
May 30, 2019
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dr. Caitlin BakerNPI 1730747387
Title
Dr.
Phone
(704) 737-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

223 Williamson Rd Ste 102
Mooresville, NC 28117-6899

Mailing address

223 Williamson Rd Ste 102
Mooresville, NC 28117-6899

Other practice location 1

111 Kilson Dr Ste 104
Mooresville, NC 28117-8218
Phone (704) 737-2440

Other names 1

  • Revive Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

223 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 737-2440

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1245898899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176899",
            "telephone_number": "980-435-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Kilson Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178218",
            "country_code": "US",
            "telephone_number": "704-737-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAITLIN WURTZ P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "704-737-2440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.