Organization Active NPI

Back to Health Chiropractic Clinic, PLLC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1356476733
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3002 Issued in NC
Legal business name
BACK TO HEALTH CHIROPRACTIC CLINIC, PLLC
Practice address
10801 Johnston Rd
Suite 112
Charlotte, NC 28226-7855
Phone
(704) 759-8006
Fax
(704) 759-8216
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Carrie Lynnea Chmielewicz, D.C.
Title
Chiropractor
Phone
(704) 759-8006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3002 NC Primary

Addresses

Primary practice location

10801 Johnston Rd
Suite 112
Charlotte, NC 28226-7855

Mailing address

10801 Johnston Rd
Suite 112
Charlotte, NC 28226-7855
Phone (704) 759-8006

National Provider Directory

National Provider Directory

Locations

10801 Johnston Rd
Ste 112
Charlotte, NC 28226
Phone (704) 759-8006

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1356476733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD",
            "address_2": "SUITE 112",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267855",
            "telephone_number": "704-759-8006",
            "fax_number": "704-759-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD",
            "address_2": "SUITE 112",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267855",
            "telephone_number": "704-759-8006",
            "fax_number": "704-759-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "CHMIELEWICZ",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNNEA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "704-759-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3002",
            "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 Nov 30, 2011; 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.