Integrative Chiropractic of Ballantyne PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INTEGRATIVE CHIROPRACTIC OF BALLANTYNE PLLC

Practice address

16607 Riverstone Way Ste 100
Charlotte, NC 28277-5750

Phone

(704) 341-4118

Fax

(704) 341-4101

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Degaray, DCNPI 1295930238

Title

Owner/Provider

Phone

(704) 225-8686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Blake Allen Klessig, DC

  • Chiropractor
  • Indian Trail, NC
  • NPI 1316587082
  Medicare reassignment NPD
• Kennedi Pierce

  • Chiropractor
  • Charlotte, NC
  • NPI 1578244521
  Medicare reassignment NPD
• Jennifer Robin Degaray, D.C.

  • Chiropractor
  • Indian Trail, NC
  • NPI 1295930238
  NPD Authorized official
• Stephen P Marco, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1013996198
  NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1306678552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 RIVERSTONE WAY STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775750",
            "telephone_number": "704-341-4118",
            "fax_number": "704-341-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 RIVERSTONE WAY STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775750",
            "telephone_number": "704-341-4118",
            "fax_number": "704-341-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CHIROPRACTIC OF BALLANTYNE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "DEGARAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "704-225-8686",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Healthcare Innovation Inc.
• Integrated Primary Care and Behavioral Health Services
• Integrated Sleep Solutions, PC
• Integrated Therapeutic Solutions
• Integration Station
• Integrative Immunology Care PLLC
• Integrative Kidney Associates, PLLC
• Integrative Lifestyle Counseling & Consulting PLLC
• Integrative Massage Concepts of Charlotte,Inc
• Integrative Renewal Health PLLC

• Chiropractor in Charlotte, NC
• Providers in Charlotte, 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 14, 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.