Chavis Chiropractic Clinic of Monroe, P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3103 Issued in NC

Legal business name

CHAVIS CHIROPRACTIC CLINIC OF MONROE, P.A.

Practice address

1518 Saratoga Blvd
Indian Trail, NC 28079-5749

Phone

(704) 628-0378

Fax

(704) 282-0317

NPI assigned

May 6, 2009

Last updated

Feb 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Chavis, D.C.NPI 1841256161

Title

President

Phone

(704) 283-5599

Specialties & licenses 1

Addresses

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.

• Matthew Chavis, D. C.

  • Chiropractor
  • Monroe, NC
  • NPI 1841256161
  Authorized official Same address or phone
• Seania Overton Dawkins, DC

  • Chiropractor
  • Monroe, NC
  • NPI 1861264111
  NPD (past)

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1790919637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 W ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102762",
            "telephone_number": "704-283-5599",
            "fax_number": "704-282-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 SARATOGA BLVD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795749",
            "telephone_number": "704-628-0378",
            "fax_number": "704-282-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVIS CHIROPRACTIC CLINIC OF MONROE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-283-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashawn N/a Carter, REGISTERED NURSE
• Theresa Isoke Cato
• CCS Express Care
• Sophia Dae Ceravalo
• Charlotte Cardiology Associates, P.a (Indian Trail)
• Douglas Sou Chen, MD
• Martha S Cholewinski, PHARM D
• Michael Clark-Borenstein
• Sara Rowell Clay, PA
• Jaime Lynn Clifton

• Medical Specialty Clinic/Center in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.