Cheuvront Clinic of Chiropractic & Sports Medicine Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2128 Issued in NC

Legal business name

CHEUVRONT CLINIC OF CHIROPRACTIC & SPORTS MEDICINE INC

Practice address

455 W John St
Matthews, NC 28105-5354

Phone

(704) 841-2200

Fax

(704) 841-2534

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Shawn Cheuvront, DCNPI 1174629133

Title

Owner Doctor

Phone

(704) 841-2200

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Timothy Shawn Cheuvront, DC

  • Chiropractor
  • Matthews, NC
  • NPI 1174629133
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1295831246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W JOHN ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055354",
            "telephone_number": "704-841-2200",
            "fax_number": "704-841-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W JOHN ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055354",
            "telephone_number": "704-841-2200",
            "fax_number": "704-841-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEUVRONT CLINIC OF CHIROPRACTIC & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CHEUVRONT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "704-841-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5315633",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0872E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890872E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacia Lynn Cheadle, PA-C
• Mariana Esther Chen
• Xin Chen, D.D.S
• Christopher Todd Cherry
• Chestnut Family Practice, PLLC
• Timothy Shawn Cheuvront, DC
• Amber Nicole Chewning, PT
• Anh Hong Mai Nguyen Chewning
• Simakumari Chhatrala
• Eternity Chilton

• Chiropractor in Matthews, NC
• Providers in Matthews, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.