Organization Active NPI

Steel Chiropractic Clinic P.a.

  • Sports Physician Chiropractor
  • Charlotte, NC
National Provider Identifier
1487796157
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1381 Issued in NC
Legal business name
STEEL CHIROPRACTIC CLINIC P.A.
Practice address
1409 Pierson Dr
Charlotte, NC 28205-6445
Phone
(704) 563-5001
Fax
(704) 563-5072
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Edward Joseph Steel, D.C.
Title
President
Phone
(704) 563-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1381 NC Primary

Addresses

Primary practice location

1409 Pierson Dr
Charlotte, NC 28205-6445

Mailing address

1409 Pierson Dr
Charlotte, NC 28205-6445
Phone (704) 563-5001

Other identifiers 2

IdentifierTypeStateIssuer
0247GOtherNCBLUE CROSS BLUE SHIELD
8908804MedicaidNC

National Provider Directory

National Provider Directory

Locations

1409 Pierson Dr
Charlotte, NC 28205
Phone (704) 563-5001

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1487796157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 PIERSON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056445",
            "telephone_number": "704-563-5001",
            "fax_number": "704-563-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 PIERSON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056445",
            "telephone_number": "704-563-5001",
            "fax_number": "704-563-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEEL CHIROPRACTIC CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "STEEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-563-5001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "1381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0247G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908804",
            "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 Jun 21, 2018; 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.