Mariely Perez Soto, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5630 Issued in NC

Practice address

6859 South Blvd
Charlotte, NC 28217-4383

Phone

(704) 275-5477

Fax

(980) 819-9722

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Estramonte Chiropractic & Wellness Center

  dba Keith Clinic of Chiropractic and Estramonte Wellness

  • Chiropractor
  • Charlotte, NC
  • NPI 1700807534
  Medicare reassignment NPD
• Estramonte Chiropractic & Wellness Center East, P.a.

  • Chiropractor
  • Charlotte, NC
  • NPI 1114223575
  Medicare reassignment NPD
• Estramonte Chiropractic West PA

  • Chiropractor
  • Charlotte, NC
  • NPI 1437440203
  Medicare reassignment NPD
• Keith Clinic Estramonte Chiropractic

  • Chiropractor
  • Charlotte, NC
  • NPI 1063066868
  Medicare reassignment NPD

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1376397588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174383",
            "telephone_number": "704-275-5477",
            "fax_number": "980-819-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174383",
            "telephone_number": "704-275-5477",
            "fax_number": "980-819-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SOTO",
        "first_name": "MARIELY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy J Pereboom, PT
• Cristina Maria Pereira
• Samuel Jay Peretsman, M.D.
• Adenia Perez Lopez, LCSW
• Ana Beatriz Perez Saez
• Matti Perez-Cubas, M.A. CCC-SLP
• Christian O. Perez-Santiago, LMBT
• Alex Perez, PA
• Amelia N Perez, MA
• Angel Luis Perez, PA-C

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.