Organization Active NPI

Carlisle Chiropractic Clinic East

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1467583948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
656 Issued in NC
Legal business name
CARLISLE CHIROPRACTIC CLINIC EAST
Practice address
3130 Monroe Rd
Charlotte, NC 28205-7538
Phone
(704) 338-1900
Fax
(704) 333-1632
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Howard Carlisle, DC
Title
Doctor- President
Phone
(704) 525-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 656 NC Primary

Addresses

Primary practice location

3130 Monroe Rd
Charlotte, NC 28205-7538

Mailing address

3130 Monroe Rd
Charlotte, NC 28205-7538
Phone (704) 338-1900

Other identifiers 2

IdentifierTypeStateIssuer
012H4OtherNCBCBS
89012H4MedicaidNC

National Provider Directory

National Provider Directory

Locations

3130 Monroe Rd
Charlotte, NC 28205
Phone (704) 338-1900

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467583948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057538",
            "telephone_number": "704-338-1900",
            "fax_number": "704-333-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057538",
            "telephone_number": "704-338-1900",
            "fax_number": "704-333-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE CHIROPRACTIC CLINIC EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DOCTOR- PRESIDENT",
        "authorized_official_telephone_number": "704-525-0026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012H4",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012H4",
            "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 Aug 22, 2020; 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.