Individual provider Active NPI

Maxwell Blitstein, D.C

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1568339265
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5966 Issued in NC
Practice address
2305 E W T Harris Blvd
Charlotte, NC 28213-5133
Phone
(704) 921-0505
NPI assigned
Oct 20, 2025
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5966 NC Primary

Addresses

Primary practice location

2305 E W T Harris Blvd
Charlotte, NC 28213-5133

Mailing address

110 Wades Way Apt 303
Mooresville, NC 28117-8764
Phone (704) 728-7072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212002047 NC Practitioner - Chiropractic 3375037773 Practice locations: Mooresville, NC; Charlotte, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Wades Way
Apt 303
Mooresville, NC 28117-8764

110 Wades Way Apt
Suite 303
Mooresville, NC 28117-8764

2305 E W T Harris Blvd
Charlotte, NC 28213-5133
Phone (704) 921-0505

514 Williamson Rd
Suite 411
Mooresville, NC 28117-9227
Phone (704) 664-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blitz Chiropractic PLLC Chiropractor Current Accepting new patients
Vitality Chiropractic & Acupuncture, PLLC Chiropractor CurrentSince Nov 7, 2025 Accepting new patients

Locations

2305 E Wt Harris Blvd
Charlotte, NC 28213
Phone (704) 921-0505

514 Williamson Rd
Ste 411
Mooresville, NC 28117
Phone (704) 302-6974

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1568339265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WADES WAY APT 303",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178764",
            "telephone_number": "704-728-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 E W T HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135133",
            "telephone_number": "704-921-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITSTEIN",
        "first_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5966",
            "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 Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.