Individual provider Active NPI

Jamie L Pries, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1447701719
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00660 Issued in RI
Practice address
933 Louise Ave Ste 206
Charlotte, NC 28204-2147
Phone
(704) 899-2573
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 00660 RI Primary

Addresses

Primary practice location

933 Louise Ave Ste 206
Charlotte, NC 28204-2147

Mailing address

933 Louise Ave Ste 206
Charlotte, NC 28204-2147

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

LicenseStateTypeSpecialty
00660RIMDChiropractor
5117NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Health Carolinas, PLLC CurrentSince May 5, 2021 Accepting new patients
Dr Stephen M Estner Professional Corporation PastSince Dec 23, 2023 Accepting new patients

Locations

4705 South Blvd
Charlotte, NC 28217
Phone (704) 525-6288

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1447701719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 LOUISE AVE STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 LOUISE AVE STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042147",
            "telephone_number": "704-899-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIES",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "00660",
            "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 Nov 21, 2021; 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.