Jose Carlos Santa
Individual provider Active NPI Chiropractor · Charlotte, NC
NPI 1457079295 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1457079295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5508 (NC)
- Practice address
- 9864 Rea Rd Ste B
Charlotte, NC 28277-6792 - Phone
- (980) 339-3058
- NPI assigned
- Aug 18, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adio Associates Inc
Practice addresses (Care Compare)
434 N Trade St
Suite 103
Matthews, NC 28105-1864
Phone (704) 845-0777
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230906003515 | NC | Practitioner - Chiropractic | 2163886383 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5508 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adio Associates Inc | Chiropractor | Current |
Accepting new patients |
| QC Chiropractic, LLC | Chiropractor | Current |
Accepting new patients |
Locations
9864 Rea Rd
Ste B
Charlotte, NC 28277
Phone (980) 339-3058
434 N Trade St
Ste 103
Matthews, NC 28105
Phone (704) 845-0777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5508 | NC | Yes |
Addresses
Primary practice location
9864 Rea Rd Ste B
Charlotte, NC 28277-6792
Mailing address
9864 Rea Rd Ste B
Charlotte, NC 28277-6792
Phone (980) 339-3058
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All providers in Charlotte, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.