Active NPI
Demaine Chiropractic &Wellnes Center PA
- Chiropractor
- Charlotte, NC
National Provider Identifier
1255367397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2183
- Legal business name
- DEMAINE CHIROPRACTIC &WELLNES CENTER PA
- Practice address
- 504 Eastway Dr
Charlotte, NC 28205-1421 - Phone
- (704) 372-6960
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen David Demaine, DC
- Title
- Owner
- Phone
- (704) 372-6960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2183 | NC | Primary |
Addresses
Primary practice location
504 Eastway Dr
Charlotte, NC 28205-1421
Mailing address
504 Eastway Dr
Charlotte, NC 28205-1421
Phone (704) 372-6960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060802000411 | NC | Part B Supplier - Clinic/Group Practice | 6103802319 |
Receives reassigned benefits from 3 practitioners Practice locations: Charlotte, NC |
National Provider Directory
National Provider DirectoryLocations
504 Eastway Dr
Charlotte, NC 28205
Phone (704) 372-6960
6253 South Blvd
Charlotte, NC 28217
Phone (704) 554-9711
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charlotte, NC
- NPI 1154398832
-
- Chiropractor
- Charlotte, NC
- NPI 1558070516
-
- Chiropractor
- Charlotte, NC
- NPI 1306511407
-
- Chiropractor
- Charlotte, NC
- NPI 1043458557
-
- Chiropractor
- Charlotte, NC
- NPI 1144480930
-
- Orthopedic Chiropractor
- Charlotte, NC
- NPI 1205811213
-
- Physical Therapist
- Gastonia, NC
- NPI 1609955467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328572800000",
"number": "1255367397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 EASTWAY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051421",
"telephone_number": "704-372-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 EASTWAY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051421",
"telephone_number": "704-372-6960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEMAINE CHIROPRACTIC &WELLNES CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2012-02-07",
"status": "A",
"authorized_official_last_name": "DEMAINE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-372-6960",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "2183",
"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 Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.