Organization Active NPI

Topteam Fitness Academy, Inc.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1457629313
Registry record updated Jun 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4020 Issued in NC
Legal business name
TOPTEAM FITNESS ACADEMY, INC.
Practice address
201 McCullough Dr
Suite 160
Charlotte, NC 28262-3577
Phone
(980) 207-0970
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2013

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

Authorized official

Name
Jason W Lindsay
Title
Owner
Phone
(805) 886-1402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4020 NC Primary

Addresses

Primary practice location

201 McCullough Dr
Suite 160
Charlotte, NC 28262-3577

Mailing address

201 McCullough Dr
Suite 160
Charlotte, NC 28262-3577
Phone (980) 207-0970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130620000605 NC Part B Supplier - Clinic/Group Practice 5496994550 Receives reassigned benefits from 1 practitioner
Practice locations: Huntersville, NC

National Provider Directory

National Provider Directory

Locations

9800 Kincey Ave
Ste 155
Huntersville, NC 28078
Phone (704) 516-7394

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371945600000",
    "number": "1457629313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MCCULLOUGH DR",
            "address_2": "SUITE 160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623577",
            "telephone_number": "980-207-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCCULLOUGH DR",
            "address_2": "SUITE 160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623577",
            "telephone_number": "980-207-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPTEAM FITNESS ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2013-06-23",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-886-1402"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4020",
            "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 Jun 23, 2013; 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.