Individual provider Active NPI

Chad W. Robertson, D.C., A.T.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1306819214
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3434 Issued in NC
Practice address
10610 Metromont Pkwy
Charlotte, NC 28269-7606
Phone
(704) 940-3670
Fax
(704) 940-3679
NPI assigned
Feb 10, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3434 NC Primary

Addresses

Primary practice location

10610 Metromont Pkwy
Charlotte, NC 28269-7606

Mailing address

10610 Metromont Pkwy
Charlotte, NC 28269-7606
Phone (704) 940-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000475 NC Practitioner - Chiropractic 3274636659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashley a Schatzman PCGroup PAC ID 2466605860, 2 clinicians

Practice addresses (Care Compare)

10616 Metromont Pkwy
Suite 104B
Charlotte, NC 28269-7657
Phone (704) 940-3670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3434NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley a. Schatzman P.C. Chiropractor CurrentSince Jun 1, 2018 Accepting new patients

Locations

10616 Metromont Pkwy
Ste 104B
Charlotte, NC 28269
Phone (704) 940-3670

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306819214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 METROMONT PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697606",
            "telephone_number": "704-940-3670",
            "fax_number": "704-940-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 METROMONT PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697606",
            "telephone_number": "704-940-3670",
            "fax_number": "704-940-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CHAD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3434",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.