Active NPI
Todd Andrew Personett, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1770717829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3671
- Practice address
- 10801 Johnston Rd
Ste 112
Charlotte, NC 28226-7855 - Phone
- (704) 759-8006
- NPI assigned
- May 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3671 | NC | Primary |
| Chiropractor | 111N00000X | DC009175 | PA | |
| Chiropractor | 111N00000X | X011425-1 | NY |
Addresses
Primary practice location
10801 Johnston Rd
Ste 112
Charlotte, NC 28226-7855
Mailing address
10801 Johnston Rd
Ste 112
Charlotte, NC 28226-7855
Phone (610) 389-9574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011425-1 | NY | MD | Chiropractor |
| DC009175 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health Chiropractic Clinic, PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Charlotte, NC
- NPI 1356476733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529712000000",
"number": "1770717829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 JOHNSTON RD",
"address_2": "STE 112",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282267855",
"telephone_number": "610-389-9574",
"fax_number": "704-504-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 JOHNSTON RD",
"address_2": "STE 112",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282267855",
"telephone_number": "704-759-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSONETT",
"first_name": "TODD",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-04",
"last_updated": "2018-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3671",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009175",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011425-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Personal Enrichment Counseling & Consulting Services, PLLC
- Personal Home Care of North Carolina, LLC
- Personal Home Care of North Carolina, LLC
- Personal Home Care of North Carolina, LLC
- Personal Touch Care Team, Inc
- Elena Pertgen
- Sunia Ayeza Pervez, MD
- Autivia Shanise Pervis
- Joshua Peshel
- Peter Grumbos DDS Randolph PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.