Active NPI
John J Priester, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1275623282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1137
- Practice address
- 1726 E 7TH St
Charlotte, NC 28204-2464 - Phone
- (704) 375-8264
- Fax
- (704) 335-0940
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1137 | NC | Primary |
Addresses
Primary practice location
1726 E 7TH St
Charlotte, NC 28204-2464
Mailing address
1726 E 7TH St
Charlotte, NC 28204-2464
Phone (704) 375-8264
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908725 | Medicaid | NC | |
| 08725 | Other | NC | NCBCBS |
| 4337281 | Other | NC | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080915000492 | NC | Practitioner - Chiropractic | 5698842789 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1275623282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042464",
"telephone_number": "704-375-8264",
"fax_number": "704-335-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042464",
"telephone_number": "704-375-8264",
"fax_number": "704-335-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIESTER",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908725",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBCBS",
"identifier": "08725",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4337281",
"state": "NC"
}
],
"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 Sep 11, 2008; 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.