Prohealth & Wellness Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2263 Issued in NC

Legal business name

PROHEALTH & WELLNESS CHIROPRACTIC

Practice address

10955 Winds Crossing Dr Ste 400
Charlotte, NC 28273-6778

Phone

(704) 583-6129

Fax

(704) 583-6146

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timmothy P Clare, DC

Title

Dr.

Phone

(704) 583-6129

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Patrick Clare, D.C.

  • Sports Physician Chiropractor
  • Charlotte, NC
  • NPI 1821168725
  Medicare reassignment NPD
• John Leslie Ashcraft Jr., DC

  • Chiropractor
  • Mooresville, NC
  • NPI 1710009386
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568585099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10955 WINDS CROSSING DR STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736778",
            "telephone_number": "704-583-6129",
            "fax_number": "704-583-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10955 WINDS CROSSING DR STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736778",
            "telephone_number": "704-583-6129",
            "fax_number": "704-583-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH & WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARE",
        "authorized_official_first_name": "TIMMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "704-583-6129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890826F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NO.",
            "identifier": "0181L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.