Organization Active NPI

Hattersley Chiropractic Clinic, PC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1669866216
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3804 Issued in NC
Legal business name
HATTERSLEY CHIROPRACTIC CLINIC, PC
Practice address
10430 Park Rd
Suite 100B
Charlotte, NC 28210-8540
Phone
(704) 614-6184
NPI assigned
Mar 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Dr. Lindsey Hattersley, D.C.NPI 1982887238
Title
Incorporator/President
Phone
(704) 564-2612

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3804 NC Primary

Addresses

Primary practice location

10430 Park Rd
Suite 100B
Charlotte, NC 28210-8540

Mailing address

9024 Otter Creek Dr Apt H
Charlotte, NC 28277-1439
Phone (704) 564-2612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150711000073 NC Part B Supplier - Clinic/Group Practice 2264744705 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

10430 Park Rd
#100B
Charlotte, NC 28210
Phone (704) 614-6184

10430 Park Rd
Ste 100B
Charlotte, NC 28210
Phone (704) 614-6184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1669866216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9024 OTTER CREEK DR APT H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771439",
            "telephone_number": "704-564-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 PARK RD",
            "address_2": "SUITE 100B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108540",
            "telephone_number": "704-614-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTERSLEY CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-21",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "HATTERSLEY",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "INCORPORATOR/PRESIDENT",
        "authorized_official_telephone_number": "704-564-2612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3804",
            "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 Jul 13, 2015; 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.