Pierce Family Wellness Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3150 Issued in NC

Legal business name

PIERCE FAMILY WELLNESS CENTER, PLLC

Practice address

6315 W Marshville Blvd
Marshville, NC 28103-1176

Phone

(704) 624-0116

Fax

(704) 624-0117

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Marcus Joe Pierce, DC

Title

President

Phone

(704) 624-0116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306977871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 W MARSHVILLE BLVD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031176",
            "telephone_number": "704-624-0116",
            "fax_number": "704-624-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 W MARSHVILLE BLVD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031176",
            "telephone_number": "704-624-0116",
            "fax_number": "704-624-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE FAMILY WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-624-0116",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085KR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.