Individual provider Active NPI

Sydney Jane Koenig, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1649082652
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5870 Issued in NC
Practice address
6060 Piedmont Row Dr S Ste 140
Charlotte, NC 28287-3801
Phone
(704) 544-5353
NPI assigned
Jan 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 5870 NC Primary

Addresses

Primary practice location

6060 Piedmont Row Dr S Ste 140
Charlotte, NC 28287-3801

Mailing address

1331 W Morehead St Apt 240
Charlotte, NC 28208-5373
Phone (440) 537-6338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311003680 NC Practitioner - Chiropractic 2264953827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5870NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Sports Chiropractic PLLC Chiropractor CurrentSince Jan 27, 2025 Accepting new patients

Locations

6060 Piedmont Row Dr S
Ste 140
Charlotte, NC 28287
Phone (704) 544-5353

8912 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 225-0400

8912 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 544-5353

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": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1649082652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W MOREHEAD ST APT 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085373",
            "telephone_number": "440-537-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873801",
            "telephone_number": "704-544-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "SYDNEY",
        "middle_name": "JANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5870",
            "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 Jan 27, 2025; 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.