Organization Active NPI

Carolina Injury Rehab PLLC

Doing business as Hickory Grove Chiropractic

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1396598157
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAROLINA INJURY REHAB PLLC
Doing business as
Hickory Grove Chiropractic
Practice address
6005 Hickory Grove Rd
Charlotte, NC 28215-4129
Phone
(704) 322-4700
Fax
(704) 994-5600
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Dr. Ryan C Giel, DCNPI 1346269529
Title
Owner
Phone
(704) 322-4700

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

6005 Hickory Grove Rd
Charlotte, NC 28215-4129

Mailing address

6005 Hickory Grove Rd
Charlotte, NC 28215-4129
Phone (704) 322-4700

Other names 1

  • Hickory Grove Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701002356 NC Part B Supplier - Clinic/Group Practice 4082158027 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

6005 Hickory Grove Rd
Charlotte, NC 28215
Phone (704) 322-4700

Practitioners & affiliated clinicians

Practitioners 1

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": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1396598157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 HICKORY GROVE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154129",
            "telephone_number": "704-322-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 HICKORY GROVE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154129",
            "telephone_number": "704-322-4700",
            "fax_number": "704-994-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INJURY REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GIEL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-322-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Grove Chiropractic",
            "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 Apr 10, 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.