Active NPI
Keith Wellness & Rehabilitation Center, P.a.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1295013845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4184
- Legal business name
- KEITH WELLNESS & REHABILITATION CENTER, P.A.
- Practice address
- 4024 Triangle Dr
Charlotte, NC 28208-2828 - Phone
- (704) 941-6000
- Fax
- (704) 941-6001
- NPI assigned
- Aug 1, 2011
- 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
- Dr. Dean R Estramonte, D.C.
- Title
- Clinic Director
- Phone
- (704) 941-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4184 | NC | Primary |
Addresses
Primary practice location
4024 Triangle Dr
Charlotte, NC 28208-2828
Mailing address
4024 Triangle Dr
Charlotte, NC 28208-2828
Phone (704) 941-6000
National Provider Directory
National Provider DirectoryLocations
4024 Triangle Dr
Charlotte, NC 28208
Phone (704) 319-9200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charlotte, NC
- NPI 1912907189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312156800000",
"number": "1295013845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 TRIANGLE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282082828",
"telephone_number": "704-941-6000",
"fax_number": "704-941-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 TRIANGLE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282082828",
"telephone_number": "704-941-6000",
"fax_number": "704-941-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH WELLNESS & REHABILITATION CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A",
"authorized_official_last_name": "ESTRAMONTE",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "704-941-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "4184",
"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 Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.