Organization Active NPI

Fireglass, LLC

Doing business as NextGen Sport and Spine

  • Chiropractor
  • Waxhaw, NC
National Provider Identifier
1740090521
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIREGLASS, LLC
Doing business as
Fireglass, LLC
NextGen Sport and Spine
Practice address
3512 Mary Elizabeth Church Rd
Waxhaw, NC 28173-9272
Phone
(828) 337-1525
NPI assigned
Jan 13, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Jeremiah Morgan, DCNPI 1588018675
Title
Owner/Ceo
Phone
(828) 337-1525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3512 Mary Elizabeth Church Rd
Waxhaw, NC 28173-9272

Mailing address

1321 Chestnut LN
Matthews, NC 28104-6775
Phone (828) 337-1525

Other names 2

  • Fireglass, LLC Doing business as
  • NextGen Sport and Spine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260228000846 NC Part B Supplier - Clinic/Group Practice 6406338326 Receives reassigned benefits from 1 practitioner
Practice locations: Matthews, NC

National Provider Directory

National Provider Directory

Locations

1321 Chestnut Ln
Matthews, NC 28104
Phone (704) 317-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1740090521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CHESTNUT LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281046775",
            "telephone_number": "828-337-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 MARY ELIZABETH CHURCH RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739272",
            "telephone_number": "828-337-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREGLASS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "828-337-1525",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fireglass, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NextGen Sport and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.