NPIMap

Organization Active NPI

Bonedocs PLLC

  • Chiropractor
  • Huntersville, NC
National Provider Identifier
1255713939
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2686 Issued in NC
Legal business name
BONEDOCS PLLC
Practice address
9718 Sam Furr Rd Unit D
Huntersville, NC 28078-4929
Phone
(704) 449-0709
Fax
(704) 896-8008
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. John J Ballas, D.C.NPI 1295847937
Title
Owner
Phone
(704) 896-8080

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2686 NC Primary

Addresses

Primary practice location

9718 Sam Furr Rd Unit D
Huntersville, NC 28078-4929

Mailing address

9718 Sam Furr Rd Unit D
Huntersville, NC 28078-4929
Phone (704) 449-0709

Other names 1

  • Ballas Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151029001138 NC Part B Supplier - Clinic/Group Practice 0648589812 Receives reassigned benefits from 3 practitioners
Practice locations: Huntersville, NC

National Provider Directory

National Provider Directory

Locations

9718 Sam Furr Rd
Unit D
Huntersville, NC 28078
Phone (704) 449-0709

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1255713939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 SAM FURR RD UNIT D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784929",
            "telephone_number": "704-449-0709",
            "fax_number": "704-896-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 SAM FURR RD UNIT D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784929",
            "telephone_number": "704-449-0709",
            "fax_number": "704-896-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONEDOCS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "BALLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-896-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballas Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.

Verify at the official NPI Registry.