Individual provider Active NPI

Patrick Donald Slovonic Jr., DC

  • Chiropractor
  • Waxhaw, NC
National Provider Identifier
1700522117
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5453 Issued in NC
Practice address
105 Waxhaw Professional Park Dr Ste a
Waxhaw, NC 28173-5018
Phone
(704) 243-1010
NPI assigned
May 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 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 5453 NC Primary

Addresses

Primary practice location

105 Waxhaw Professional Park Dr Ste a
Waxhaw, NC 28173-5018

Mailing address

5300 Sand Trap CT
Monroe, NC 28112-7783
Phone (412) 445-3864

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926003206 NC Practitioner - Chiropractic 9133505399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas CC Chiropractic PLLCGroup PAC ID 5991847949, 5 clinicians

Practice addresses (Care Compare)

101 G Waxhaw Prof PK Dr
Waxhaw, NC 28173-0501
Phone (704) 243-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
543NCMDMarriage & Family Therapist
5453NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas CC Chiropractic PLLC Chiropractor CurrentSince Jul 21, 2022 Accepting new patients

Locations

101 Waxhaw Pkwy
#G
Waxhaw, NC 28173
Phone (704) 243-1010

105 Waxhaw Professional Park Dr
Ste A
Waxhaw, NC 28173
Phone (704) 243-1010

101 Waxhaw Professional Park Dr
Ste G
Waxhaw, NC 28173

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1700522117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SAND TRAP CT",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281127783",
            "telephone_number": "412-445-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WAXHAW PROFESSIONAL PARK DR STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735018",
            "telephone_number": "704-243-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVONIC",
        "first_name": "PATRICK",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.