Active NPI
Sophie Maria McDonald, DC
- Chiropractor
- Huntersville, NC
National Provider Identifier
1417580903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5164
- Practice address
- 16411 Terry LN
Huntersville, NC 28078-9391 - Phone
- (814) 289-3726
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5164 | NC | Primary |
Addresses
Primary practice location
16411 Terry LN
Huntersville, NC 28078-9391
Mailing address
16411 Terry LN
Huntersville, NC 28078-9391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200509000131 | NC | Practitioner - Chiropractic | 5496186314 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5164 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1417580903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16411 TERRY LN",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16411 TERRY LN",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789391",
"telephone_number": "814-289-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "SOPHIE",
"middle_name": "MARIA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.