Individual provider Active NPI

John Leslie Ashcraft Jr., DC

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1710009386
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3079 Issued in NC
Practice address
584 Brawley School Road
Suite 105
Mooresville, NC 28117-8158
Phone
(704) 799-8750
Fax
(704) 799-8756
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3079 NC Primary

Addresses

Primary practice location

584 Brawley School Road
Suite 105
Mooresville, NC 28117-8158

Mailing address

584 Brawley School Road
Suite 105
Mooresville, NC 28117-8158
Phone (704) 799-8750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000823 NC Practitioner - Chiropractic 2264613785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chirolife Wellness Center, PLLCGroup PAC ID 5395925010, 3 clinicians

Practice addresses (Care Compare)

584 Brawley School Rd
Suite 105
Mooresville, NC 28117-8159
Phone (704) 799-8750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chirolife Wellness Center, PLLC Chiropractor CurrentSince Sep 13, 2010 Accepting new patients
Prohealth & Wellness Chiropractic Chiropractor Past Accepting new patients

Locations

584 Brawley School Rd
Ste 105
Mooresville, NC 28117
Phone (704) 360-2628

110 Charleston Dr
Ste 105
Mooresville, NC 28117
Phone (704) 799-8750

Organizations & group practices 2

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1710009386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BRAWLEY SCHOOL ROAD",
            "address_2": "SUITE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178158",
            "telephone_number": "704-799-8750",
            "fax_number": "704-799-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BRAWLEY SCHOOL ROAD",
            "address_2": "SUITE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178158",
            "telephone_number": "704-799-8750",
            "fax_number": "704-799-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHCRAFT",
        "first_name": "JOHN",
        "middle_name": "LESLIE",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.