Dr Michael J Landers DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4058 Issued in NC

Legal business name

DR MICHAEL J LANDERS DC

Doing business as

Highland Creek Chiropractic, PLLC

Practice address

10030 Edison Square Dr NW
203
Concord, NC 28027-8308

Phone

(704) 997-9566

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Landers, DCNPI 1124345327

Title

Owner

Phone

(704) 948-6453

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highland Creek Chiropractic, PLLC Doing business as

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 James Landers, D.C., F.I.A.M.A.

  • Chiropractor
  • Concord, NC
  • NPI 1124345327
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1760727218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 EDISON SQUARE DR NW",
            "address_2": "203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278308",
            "telephone_number": "704-948-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 EDISON SQUARE DR NW",
            "address_2": "203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278308",
            "telephone_number": "704-997-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL J LANDERS DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "LANDERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-948-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916209",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Creek Chiropractic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Creek Chiropractic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Concord, NC
• Providers in Concord, 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 20, 2023; 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.