Sullivan Family Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2832 Issued in NC

Legal business name

SULLIVAN FAMILY CHIROPRACTIC, P.A.

Practice address

2315 W Arbors Dr Ste 208a
Charlotte, NC 28262-2577

Phone

(704) 547-1800

Fax

(704) 547-1611

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Michael Douglas SullivanNPI 1194711804

Title

President/Owner

Phone

(704) 547-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Douglas Sullivan, DC

  • Chiropractor
  • Charlotte, NC
  • NPI 1194711804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1740369982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W ARBORS DR STE 208A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622577",
            "telephone_number": "704-547-1800",
            "fax_number": "704-547-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W ARBORS DR STE 208A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622577",
            "telephone_number": "704-547-1800",
            "fax_number": "704-547-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-01-23",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-547-1800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890844X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael William Sulewski, PA-C
• Niyathi Sulkunte
• Alyssa Leigh Sullins, PA-C
• Sullivan & Associates
• Sullivan & Associates LLC
• Jill Paula Sullivan-Keating, NP
• Aline Bonno Sullivan, PHARM.D.
• Billy Lee Sullivan II, MD
• Bryan E. Sullivan, LPC
• Catherine M Sullivan, OTR/L

• 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 Jan 23, 2024; 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.