Organization Active NPI

Summit Chiropractic Care PLLC

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1326814542
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUMMIT CHIROPRACTIC CARE PLLC
Practice address
736 Brawley School Rd Ste E
Mooresville, NC 28117-9283
Phone
(704) 664-1031
Fax
(704) 664-1035
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. Joseph Livingstone Glick III, DCNPI 1730830688
Title
Ceo
Phone
(704) 664-1031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

736 Brawley School Rd Ste E
Mooresville, NC 28117-9283

Mailing address

736 Brawley School Rd Ste E
Mooresville, NC 28117-9283
Phone (704) 664-1031

Other identifiers 1

IdentifierTypeStateIssuer
NN5652AMedicaidNC

National Provider Directory

National Provider Directory

Locations

736 Brawley School Rd
Ste E
Mooresville, NC 28117
Phone (704) 662-0200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1326814542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 BRAWLEY SCHOOL RD STE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179283",
            "telephone_number": "704-664-1031",
            "fax_number": "704-664-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BRAWLEY SCHOOL RD STE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179283",
            "telephone_number": "704-664-1031",
            "fax_number": "704-664-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LIVINGSTONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-664-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NN5652A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.