Active NPI
Jason McDonald, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1326455163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4331
- Practice address
- 17228 Lancaster Hwy
Suite 208
Charlotte, NC 28277-2078 - Phone
- (704) 271-3160
- Fax
- (704) 675-5524
- NPI assigned
- Jul 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4331 | NC | Primary |
Addresses
Primary practice location
17228 Lancaster Hwy
Suite 208
Charlotte, NC 28277-2078
Mailing address
1 Lila LN
Clyde, NC 28721-8824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4331 | NC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1326455163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LILA LN",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17228 LANCASTER HWY",
"address_2": "SUITE 208",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772078",
"telephone_number": "704-271-3160",
"fax_number": "704-675-5524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JASON",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4331",
"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 Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.