Individual provider Active NPI

Michele Renee Putnam, DC DIPL AC NCCAOM

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1801874359
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NC2319 Issued in NC
Practice address
10320 Mallard Creek Rd Ste 210
Charlotte, NC 28262-9756
Phone
(704) 226-4444
Fax
(866) 459-1051
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 015812
Chiropractor 111N00000X SC1989 SC
Chiropractor 111N00000X NC2319 NC Primary

Addresses

Primary practice location

10320 Mallard Creek Rd Ste 210
Charlotte, NC 28262-9756

Mailing address

17329 Knoxwood Dr
Huntersville, NC 28078-5214
Phone (704) 591-1457

Other identifiers 2

IdentifierTypeStateIssuer
0841FOtherNCBCBS
890841FMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000232 NC Practitioner - Chiropractic 1254410616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC2319NCMDChiropractor
SC1989SCMDChiropractor
2319SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Chiropractic & Acupuncture, PLLC Chiropractor CurrentSince Jun 14, 2025 Accepting new patients
Kastle Chiropractic Chiropractor PastSince Nov 30, 2025 Accepting new patients

Locations

10320 Mallard Creek Rd
Ste 210
Charlotte, NC 28262
Phone (704) 226-4444

2305 E Wt Harris Blvd
#102
Charlotte, NC 28213
Phone (704) 921-0505

2305 E Wt Harris Blvd
Charlotte, NC 28213
Phone (704) 921-0505

2305 E Wt Harris Blvd
Ste 102
Charlotte, NC 28213
Phone (704) 921-0505

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1801874359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17329 KNOXWOOD DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785214",
            "telephone_number": "704-591-1457",
            "fax_number": "866-459-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 MALLARD CREEK RD STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629756",
            "telephone_number": "704-226-4444",
            "fax_number": "866-459-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DC DIPL AC NCCAOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": "015812",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC1989",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "NC2319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0841F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890841F",
            "state": "NC"
        }
    ],
    "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 May 19, 2026; 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.