Organization Active NPI

South Charlotte Pain Relief Center, Inc.

  • Neurology Chiropractor
  • Charlotte, NC
National Provider Identifier
1750478962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
2246 Issued in NC
Legal business name
SOUTH CHARLOTTE PAIN RELIEF CENTER, INC.
Practice address
10701 Park Rd
Suite G
Charlotte, NC 28210-8492
Phone
(704) 544-8844
NPI assigned
Oct 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gustave FerreriNPI 1720168602
Title
President
Phone
(704) 544-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 2246 NC Primary

Addresses

Primary practice location

10701 Park Rd
Suite G
Charlotte, NC 28210-8492

Mailing address

10701 Park Rd
Suite G
Charlotte, NC 28210-8492

National Provider Directory

National Provider Directory

Locations

10701 Park Rd
Ste G
Charlotte, NC 28210
Phone (704) 544-8844

Practitioners & affiliated clinicians

Practitioners 2

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": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750478962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 PARK RD",
            "address_2": "SUITE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 PARK RD",
            "address_2": "SUITE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108492",
            "telephone_number": "704-544-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHARLOTTE PAIN RELIEF CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRERI",
        "authorized_official_first_name": "GUSTAVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-544-8660"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NC",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.