Individual provider Active NPI

Jeremy Hozjan, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1356598007
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4049 Issued in NC
Practice address
4600 Park Rd
Suite 380
Charlotte, NC 28209-3670
Phone
(704) 523-2367
Fax
(704) 523-9937
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4049 NC Primary

Addresses

Primary practice location

4600 Park Rd
Suite 380
Charlotte, NC 28209-3670

Mailing address

4600 Park Road
Suite 380
Charlotte, NC 28209-3670
Phone (704) 523-2367

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

LicenseStateTypeSpecialty
4049NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Neuropathy Centers, PLLC CurrentSince Oct 31, 2021 Accepting new patients
Pinnacle Chiropractic Health & Wellness Center, LLC Chiropractor Past Accepting new patients
Chiromax Chiropractor Past Accepting new patients

Locations

4600 Park Rd
Ste 380
Charlotte, NC 28209
Phone (704) 236-8245

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1356598007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 PARK ROAD",
            "address_2": "SUITE 380",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093670",
            "telephone_number": "704-523-2367",
            "fax_number": "704-523-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 PARK RD",
            "address_2": "SUITE 380",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093670",
            "telephone_number": "704-523-2367",
            "fax_number": "704-523-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOZJAN",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4049",
            "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 Feb 26, 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.