Organization Active NPI

Growing Tree Chiropractic PLLC

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1356828735
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GROWING TREE CHIROPRACTIC PLLC
Practice address
516 River Hwy Ste C
Mooresville, NC 28117-6830
Phone
(980) 689-1893
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Dr. Cepeda Carter, DCNPI 1548747926
Title
Co Owner
Phone
(980) 689-1893

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

516 River Hwy Ste C
Mooresville, NC 28117-6830

Mailing address

516 River Hwy Ste C
Mooresville, NC 28117-6830
Phone (980) 689-1893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181001002445 NC Part B Supplier - Clinic/Group Practice 3577814508 Receives reassigned benefits from 2 practitioners
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Locations

516 River Hwy
Ste C
Mooresville, NC 28117
Phone (980) 689-1893

Practitioners & affiliated clinicians

Practitioners 2

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": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1356828735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 RIVER HWY STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176830",
            "telephone_number": "980-689-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 RIVER HWY STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176830",
            "telephone_number": "980-689-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING TREE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CEPEDA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "980-689-1893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 27, 2018; 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.