Organization Active NPI

Healthstarr Chiropractic Inc.

  • Chiropractor
  • Cornelius, NC
National Provider Identifier
1790978740
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3076 Issued in NC
Legal business name
HEALTHSTARR CHIROPRACTIC INC.
Practice address
20700 N Main St
Ste 100
Cornelius, NC 28031-8431
Phone
(704) 655-0944
Fax
(704) 655-2585
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Laurie RothNPI 1225056740
Title
President
Phone
(704) 655-0944

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3076 NC Primary

Addresses

Primary practice location

20700 N Main St
Ste 100
Cornelius, NC 28031-8431

Mailing address

20700 N Main St
Ste 100
Cornelius, NC 28031-8431

Other identifiers 5

IdentifierTypeStateIssuer
085JPOtherNCBCBS
1790978740OtherNCGROUP NPI
62871OtherNCACN
89085JPMedicaidNC
1225056740OtherNCINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1790978740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 N MAIN ST",
            "address_2": "STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 N MAIN ST",
            "address_2": "STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318431",
            "telephone_number": "704-655-0944",
            "fax_number": "704-655-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTARR CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-655-0944"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085JP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1790978740",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "62871",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085JP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1225056740",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.