Organization Active NPI

Rejuvenation Chiropractic PLLC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1760784763
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4050 Issued in NC
Legal business name
REJUVENATION CHIROPRACTIC PLLC
Practice address
5950 Fairview Road
Ste 218
Charlotte, NC 28210
Phone
(704) 858-6420
NPI assigned
Nov 23, 2010
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr. Cameron Piechocinski, DCNPI 1659697993
Title
Owner/Chiropractor
Phone
(704) 858-6420

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 4050 NC Primary

Addresses

Primary practice location

5950 Fairview Road
Ste 218
Charlotte, NC 28210

Mailing address

5950 Fairview Road
Ste 218
Charlotte, NC 28210
Phone (704) 858-6420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240613003115 NC Part B Supplier - Clinic/Group Practice 8820531254 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

3111 Springbank Ln
#F1
Charlotte, NC 28226

5950 Fairview Rd
Ste 218
Charlotte, NC 28210
Phone (704) 544-5353

7907 Providence Rd
Ste 270
Charlotte, NC 28277
Phone (704) 714-3474

Practitioners & affiliated clinicians

Practitioners 7

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": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1760784763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW ROAD",
            "address_2": "STE 218",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-858-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW ROAD",
            "address_2": "STE 218",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-858-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2024-06-07",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PIECHOCINSKI",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "704-858-6420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4050",
            "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 Jun 7, 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.