Organization Active NPI

King Tut Chiropractor

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1376476671
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KING TUT CHIROPRACTOR
Practice address
6303 Carmel Rd Ste 101
Charlotte, NC 28226-8281
Phone
(980) 339-9571
NPI assigned
Jun 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Amgad DemetryNPI 1588510192
Title
Chiropractor
Phone
(980) 339-9571

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

6303 Carmel Rd Ste 101
Charlotte, NC 28226-8281

Mailing address

6303 Carmel Rd Ste 101
Charlotte, NC 28226-8281
Phone (980) 339-9571

National Provider Directory

National Provider Directory

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": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1376476671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 CARMEL RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268281",
            "telephone_number": "980-339-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 CARMEL RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268281",
            "telephone_number": "980-339-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING TUT CHIROPRACTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "DEMETRY",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "980-339-9571"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jun 5, 2026; 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.