Organization Active NPI

Estramonte Chiropractic West PA

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1437440203
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ESTRAMONTE CHIROPRACTIC WEST PA
Practice address
4016 Triangle Dr
Charlotte, NC 28208-2828
Phone
(704) 392-1338
Fax
(704) 398-0602
NPI assigned
Apr 27, 2011
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Dr. Michael H Estramonte, DCNPI 1609877901
Title
Owner/ Director
Phone
(704) 392-1338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4016 Triangle Dr
Charlotte, NC 28208-2828

Mailing address

4016 Triangle Dr
Charlotte, NC 28208-2828
Phone (704) 392-1338

Other identifiers 1

IdentifierTypeStateIssuer
2579044OtherNCMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110517000261 NC Part B Supplier - Clinic/Group Practice 1951587583 Receives reassigned benefits from 13 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

4016 Triangle Dr
Charlotte, NC 28208
Phone (704) 392-1338

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1437440203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 TRIANGLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082828",
            "telephone_number": "704-392-1338",
            "fax_number": "704-398-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 TRIANGLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082828",
            "telephone_number": "704-392-1338",
            "fax_number": "704-398-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRAMONTE CHIROPRACTIC WEST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "ESTRAMONTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "704-392-1338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2579044",
            "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 26, 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.