Myers Park Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2603 Issued in NC

Legal business name

MYERS PARK CHIROPRACTIC PA

Practice address

1000 Queens Rd
Suite 2
Charlotte, NC 28207-1860

Phone

(704) 343-0208

Fax

(704) 343-0275

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian William Gotro, D.C.

Title

Owner

Phone

(704) 343-0208

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• CHARLOTTE WELLNESS CENTER Doing business as

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1730394529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 COTTON PLANTER LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282703764",
            "telephone_number": "704-577-9028",
            "fax_number": "704-343-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUEENS RD",
            "address_2": "SUITE 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071860",
            "telephone_number": "704-343-0208",
            "fax_number": "704-343-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS PARK CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "GOTRO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-343-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0842Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890842Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1396757027",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1730394529",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLOTTE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• My VA Doctor
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• Jennifer Shope Myatt, LPC
• Reuben Joseph Myer, DPT
• Susan Hull Myer
• Myers Park Dental Partners
• Myers Park Opco LLC
• Myers Park SNF Operations LLC
• Myers Psychotherapeutic Services PLLC
• Myers-Galloway Counseling

• 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 Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.