NPIMap

Organization Active NPI

De Health Partners PC

Doing business as Greenapple Sports & Wellness

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1356799605
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4405 Issued in NC
Legal business name
DE HEALTH PARTNERS PC
Doing business as
Greenapple Sports & Wellness
Practice address
4601 Park Rd Ste 100
Charlotte, NC 28209-2296
Phone
(045) 277-2467
Fax
(704) 527-3080
NPI assigned
May 27, 2016
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Mrs. Tiffany Walker
Title
Office Manager
Phone
(704) 527-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4405 NC Primary

Addresses

Primary practice location

4601 Park Rd Ste 100
Charlotte, NC 28209-2296

Mailing address

4601 Park Rd Ste 100
Charlotte, NC 28209-2296
Phone (704) 527-7246

Other names 1

  • Greenapple Sports & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160829000533 NC Part B Supplier - Clinic/Group Practice 7618262759 Receives reassigned benefits from 4 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

4805 Park Rd
Ste 225
Charlotte, NC 28209
Phone (704) 527-7246

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1356799605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092296",
            "telephone_number": "704-527-7246",
            "fax_number": "704-527-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092296",
            "telephone_number": "045-277-2467",
            "fax_number": "704-527-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE HEALTH PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-527-7246",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenapple Sports & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.