Active NPI
Randolph Chiropractic Health Center PA
- Chiropractor
- Charlotte, NC
National Provider Identifier
1790777993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- RANDOLPH CHIROPRACTIC HEALTH CENTER PA
- Practice address
- 2040B Randolph Rd
Charlotte, NC 28207-1216 - Phone
- (704) 331-0100
- Fax
- (704) 331-0150
- NPI assigned
- Aug 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott W. Firczak, DC
- Title
- Owner
- Phone
- (704) 331-0150
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2040B Randolph Rd
Charlotte, NC 28207-1216
Mailing address
68 Global Dr
Suite 100
Greenville, SC 29607-4628
Phone (864) 644-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041222000750 | NC | Part B Supplier - Clinic/Group Practice | 8426016395 |
Receives reassigned benefits from 3 practitioners Practice locations: Charlotte, NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charlotte, NC
- NPI 1003808833
-
- Chiropractor
- Charlotte, NC
- NPI 1588656318
-
- Chiropractor
- Charlotte, NC
- NPI 1356840540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288310400000",
"number": "1790777993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 GLOBAL DR",
"address_2": "SUITE 100",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074628",
"telephone_number": "864-644-2700",
"fax_number": "864-644-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040B RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071216",
"telephone_number": "704-331-0100",
"fax_number": "704-331-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDOLPH CHIROPRACTIC HEALTH CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-16",
"last_updated": "2010-10-29",
"status": "A",
"authorized_official_last_name": "FIRCZAK",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-331-0150",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"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 Oct 29, 2010; 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.