Organization Active NPI

Hirsch Chiropractic & Wellness Clinic, Inc.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1497702831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2245 Issued in NC
Legal business name
HIRSCH CHIROPRACTIC & WELLNESS CLINIC, INC.
Practice address
2125 N Sharon Amity Rd
Charlotte, NC 28205-7452
Phone
(704) 569-1567
Fax
(704) 532-0557
NPI assigned
May 30, 2006
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. Myriam S Hirsch, DCNPI 1134176365
Title
Clinic Director
Phone
(704) 569-1567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2245 NC Primary

Addresses

Primary practice location

2125 N Sharon Amity Rd
Charlotte, NC 28205-7452

Mailing address

2125 N Sharon Amity Rd
Charlotte, NC 28205-7452
Phone (704) 569-1567

Other identifiers 2

IdentifierTypeStateIssuer
0837FOtherNCBCBS
890837FMedicaidNC

National Provider Directory

National Provider Directory

Locations

2125 N Sharon Amity Rd
Charlotte, NC 28205
Phone (704) 569-1567

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497702831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 N SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057452",
            "telephone_number": "704-569-1567",
            "fax_number": "704-532-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 N SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057452",
            "telephone_number": "704-569-1567",
            "fax_number": "704-532-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRSCH CHIROPRACTIC & WELLNESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "704-569-1567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0837F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890837F",
            "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.