Active NPI
Mack Herron King III, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1285810044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 848
- Practice address
- 3545 North Sharon Amity Road
King Chiropractic Clinic
Charlotte, NC 28205 - Phone
- (170) 442-6111
- Fax
- (170) 442-6133
- NPI assigned
- Jan 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 848 | NC | Primary |
| Orthopedic Chiropractor | 111NX0800X | 848 | NC |
Addresses
Primary practice location
3545 North Sharon Amity Road
King Chiropractic Clinic
Charlotte, NC 28205
Mailing address
3545 North Sharon Amity Road
King Chiropractic Clinic
Charlotte, NC 28205
Phone (170) 442-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 848 | NC | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1285810044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 NORTH SHARON AMITY ROAD",
"address_2": "KING CHIROPRACTIC CLINIC",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28205",
"telephone_number": "170-442-6111",
"fax_number": "170-442-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 NORTH SHARON AMITY ROAD",
"address_2": "KING CHIROPRACTIC CLINIC",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28205",
"telephone_number": "170-442-6111",
"fax_number": "170-442-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MACK",
"middle_name": "HERRON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "848",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NC",
"license": "848",
"primary": false
}
],
"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 Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.