Active NPI
Jose C Gomez, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1437247434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2993
- Practice address
- 2418 Central Ave
Charlotte, NC 28205-5311 - Phone
- (704) 377-0800
- Fax
- (704) 333-0874
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- 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 | 2993 | NC | Primary |
Addresses
Primary practice location
2418 Central Ave
Charlotte, NC 28205-5311
Mailing address
2418 Central Ave
Charlotte, NC 28205-5311
Phone (704) 377-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085FM | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2993 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437247434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 CENTRAL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282055311",
"telephone_number": "704-377-0800",
"fax_number": "704-333-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 CENTRAL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282055311",
"telephone_number": "704-377-0800",
"fax_number": "704-333-0874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JOSE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085FM",
"state": "NC"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.