Individual provider Active NPI

Danielle Plummer, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1679068464
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4905 Issued in NC
Practice address
10220 Couloak Dr
Charlotte, NC 28216-7678
Phone
(704) 392-9999
Fax
(704) 392-9913
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 4905 NC Primary

Addresses

Primary practice location

10220 Couloak Dr
Charlotte, NC 28216-7678

Mailing address

10220 Couloak Dr
Charlotte, NC 28216-7678
Phone (704) 392-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821000073 NC Practitioner - Chiropractic 7113276437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Wellness Center PLLCGroup PAC ID 7911076914, 3 clinicians

Practice addresses (Care Compare)

10220 Couloak Dr
Charlotte, NC 28216-7678
Phone (704) 392-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4905NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Wellness Center PLLC Chiropractor CurrentSince May 6, 2019 Accepting new patients

Locations

10220 Couloak Dr
Charlotte, NC 28216
Phone (704) 392-9999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1679068464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 COULOAK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282167678",
            "telephone_number": "704-392-9999",
            "fax_number": "704-392-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 COULOAK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282167678",
            "telephone_number": "704-392-9999",
            "fax_number": "704-392-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4905",
            "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 Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.