Individual provider Active NPI

Marcia Padilla, D.C.

  • Chiropractor
  • Cornelius, NC
National Provider Identifier
1699209957
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4658 Issued in NC
Practice address
19722 One Norman Blvd Ste 210
Cornelius, NC 28031-5911
Phone
(980) 689-2499
NPI assigned
Apr 13, 2017
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4658 NC Primary

Addresses

Primary practice location

19722 One Norman Blvd Ste 210
Cornelius, NC 28031-5911

Mailing address

19722 One Norman Blvd Ste 210
Cornelius, NC 28031-5911
Phone (704) 507-0938

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605001945 NC Practitioner - Chiropractic 1052688538 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9864 Rea Rd
Suite B
Charlotte, NC 28277-6792
Phone (980) 339-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Estramonte Chiropractic & Wellness Center East, P.a. Chiropractor CurrentSince Apr 28, 2017 Accepting new patients
100 Percent Chiropractic Padilla, LLC Chiropractor CurrentSince Nov 5, 2019 Accepting new patients
100 Chiro Padilla Tran PC LLC Chiropractor CurrentSince Jun 3, 2023 Accepting new patients
Estramonte Chiropractic West PA Chiropractor CurrentSince Apr 28, 2017 Accepting new patients
100 Chiropractic Hummel PLLC Chiropractor CurrentSince Dec 17, 2023 Accepting new patients
QC Chiropractic, LLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients

Locations

4016 Triangle Dr
Charlotte, NC 28208
Phone (704) 392-1338

5344 Central Ave
Charlotte, NC 28212
Phone (704) 568-4195

9864 Rea Rd
Ste B
Charlotte, NC 28277
Phone (980) 339-3058

19722 One Norman Blvd
Ste 210
Cornelius, NC 28031
Phone (704) 336-9032

Organizations & group practices 7

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1699209957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19722 ONE NORMAN BLVD STE 210",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315911",
            "telephone_number": "704-507-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19722 ONE NORMAN BLVD STE 210",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315911",
            "telephone_number": "980-689-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "MARCIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.