Individual provider Active NPI

Kyle Brandon Jones, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1255501656
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3828 Issued in NC
Practice address
101 S Tryon St
Suite #200
Charlotte, NC 28280-0002
Phone
(704) 644-8690
Fax
(919) 321-4320
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3828 NC Primary

Addresses

Primary practice location

101 S Tryon St
Suite #200
Charlotte, NC 28280-0002

Mailing address

101 S Tryon St
Suite #200
Charlotte, NC 28280-0002
Phone (704) 644-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000199 NC Practitioner - Chiropractic 7517039001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas CC Chiropractic PLLCGroup PAC ID 5991847949, 5 clinicians

Practice addresses (Care Compare)

101 G Waxhaw Prof PK Dr
Waxhaw, NC 28173-0501
Phone (704) 243-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3828NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas CC Chiropractic PLLC Chiropractor CurrentSince Dec 2, 2009 Accepting new patients
South Charlotte Chiropractic PLLC Chiropractor PastSince Apr 11, 2010 Accepting new patients
Chiropractic Fitness Centers PC Chiropractor Past Accepting new patients
Daljit Buttar MD PC Past Accepting new patients

Locations

11940 Carolina Place Pkwy
Ste 102
Pineville, NC 28134
Phone (704) 243-1010

101 Waxhaw Pkwy
#G
Waxhaw, NC 28173
Phone (704) 243-1010

101 Waxhaw Professional Park Dr
Ste G
Waxhaw, NC 28173

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1255501656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S TRYON ST",
            "address_2": "SUITE #200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282800002",
            "telephone_number": "704-644-8690",
            "fax_number": "919-321-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S TRYON ST",
            "address_2": "SUITE #200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282800002",
            "telephone_number": "704-644-8690",
            "fax_number": "919-321-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYLE",
        "middle_name": "BRANDON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3828",
            "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 Mar 3, 2008; 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.