Active NPI
Andrea Duvnjak, ND, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1700426624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5141
- Practice address
- 15640 Don Lochman LN Ste a
Charlotte, NC 28277-4793 - Phone
- (708) 408-4989
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 099.0134089 | VT | |
| Chiropractor | 111N00000X | 5141 | NC | Primary |
Addresses
Primary practice location
15640 Don Lochman LN Ste a
Charlotte, NC 28277-4793
Mailing address
12600 District South Dr Apt 200-406
Charlotte, NC 28277-5206
Phone (708) 408-4989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5141 | NC | MD | Chiropractor |
| 099.0134089 | VT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1700426624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 DISTRICT SOUTH DR APT 200-406",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775206",
"telephone_number": "708-408-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15640 DON LOCHMAN LN STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774793",
"telephone_number": "708-408-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVNJAK",
"first_name": "ANDREA",
"credential": "ND, DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "VT",
"license": "099.0134089",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Diane Szaflarski Dutton, D.O
- James Walter Dutton Jr., M.D.
- Margaret Stephanie Dutton, MD
- Timothy Blake Duvall, PA
- David Alan Winston Duvernois, PA-C
- Ashraf S Duzan
- Dva Healthcare Renal Care Inc (Charlotte Dialysis)
- Dva Healthcare Renal Care Inc (North Charlotte Dialysis Center)
- Dva Healthcare Renal Care Inc (South Charlotte Dialysis)
- Dva Healthcare Renal Care Inc (Charlotte East Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.