Jared Scholtisek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3936 Issued in NC

Practice address

14142 Rivergate Pkwy
Suite 300
Charlotte, NC 28273-8906

Phone

(704) 587-0078

Fax

(704) 587-0071

NPI assigned

Mar 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2008

Medicare assignment

May accept Medicare assignment

Group practices

City Chiropractic PLLCGroup PAC ID 5092949057, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• City Chiropractic PLLC

  • Chiropractor
  • Charlotte, NC
  • NPI 1144586272
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Lidstrom Ms DC PC

  dba Lakeside Sports Chiropractic Center

  • Multi-Specialty Clinic/Center
  • Cornelius, NC
  • NPI 1033125240

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1730320524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14142 RIVERGATE PKWY",
            "address_2": "SUIRE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282738906",
            "telephone_number": "704-587-0078",
            "fax_number": "704-587-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14142 RIVERGATE PKWY",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282738906",
            "telephone_number": "704-587-0078",
            "fax_number": "704-587-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLTISEK",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "3936",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Schoen
• David K Schoenecker, CRNA
• Kimberly Joy Schoening
• Terrence Schofield
• George Kenneth Scholl Jr., M.D.
• David G Scholz, M.D.
• Jeana C Schopfer
• Robert H Schortz, DDS
• Kelly S Schrader, PT
• Laura Jean Schrader, MD

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.