NPIMap

Organization Active NPI

Carolina Chiropractic Group of Gastonia PLLC

  • Chiropractor
  • Gastonia, NC
National Provider Identifier
1659156388
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAROLINA CHIROPRACTIC GROUP OF GASTONIA PLLC
Practice address
528 Union Rd
Gastonia, NC 28054-4450
Phone
(704) 867-1010
Fax
(704) 710-8037
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mr. Bradley Steven Moffitt, DC, MSNPI 1851714935
Title
Owner
Phone
(704) 482-0135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

528 Union Rd
Gastonia, NC 28054-4450

Mailing address

145 W Dixon Blvd
Shelby, NC 28152-6546
Phone (704) 482-0135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231109000473 NC Part B Supplier - Clinic/Group Practice 1153778329 Receives reassigned benefits from 6 practitioners
Practice locations: Gastonia, NC

National Provider Directory

National Provider Directory

Locations

528 Union Rd
Gastonia, NC 28054
Phone (704) 867-1010

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1659156388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526546",
            "telephone_number": "704-482-0135",
            "fax_number": "704-710-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544450",
            "telephone_number": "704-867-1010",
            "fax_number": "704-710-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHIROPRACTIC GROUP OF GASTONIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-482-0135",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.