Derek Maul, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4327 Issued in NC

Practice address

7810 Ballantyne Commons Pkwy Ste 101
Charlotte, NC 28277-3416

Phone

(704) 543-4307

NPI assigned

Nov 21, 2011

Last updated

Oct 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charlottechiropracticandrehab.derekmaul@146412.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Charlotte Sports Performance and Rehab, LLC

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• De Health Partners PC

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• Preventive Medicine, PC

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  • NPI 1801943089
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1508133463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 BALLANTYNE COMMONS PKWY STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773416",
            "telephone_number": "812-345-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 BALLANTYNE COMMONS PKWY STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773416",
            "telephone_number": "704-543-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUL",
        "first_name": "DEREK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Earle Matz, D.C.
• Arielle Christina Mauceri, PA-C, LAT, ATC
• David R Mauerhan, MD
• Christeen Mauerman, MSW, LCSW-A
• Camiya Maul-Pierre
• Erica Lynn Mauney, PA
• Madison Mauney
• Elizabeth J Maupin, PA
• Andrew Carl Maurer, C.O.
• Debra J Maurer, PT

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.