Individual provider Active NPI

Eric Mark Osansky, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1578622882
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2741 Issued in NC
Practice address
4100 Carmel Rd Ste B
Charlotte, NC 28226-6151
Phone
(888) 570-8873
Fax
(888) 380-1153
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2741 NC Primary

Addresses

Primary practice location

4100 Carmel Rd Ste B
Charlotte, NC 28226-6151

Mailing address

PO Box 1062
Harrisburg, NC 28075-1062
Phone (704) 996-1290

Other identifiers 1

IdentifierTypeStateIssuer
0844TOtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2741NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Wellness Chiropractic Center, PLLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1578622882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1062",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280751062",
            "telephone_number": "704-996-1290",
            "fax_number": "888-380-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CARMEL RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266151",
            "telephone_number": "888-570-8873",
            "fax_number": "888-380-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSANSKY",
        "first_name": "ERIC",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0844T",
            "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 May 12, 2011; 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.