Gotro Chiropractic of Indian Trail

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2080 Issued in NC

Legal business name

GOTRO CHIROPRACTIC OF INDIAN TRAIL

Practice address

13803 Independence Blvd Ste E
Indian Trail, NC 28079-7680

Phone

(704) 882-0192

Fax

(704) 882-0612

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hugh Charles Gotro Jr., D.C.NPI 1659488872

Title

President

Phone

(704) 882-0192

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Hugh Charles Gotro Jr., D.C.

  • Chiropractor
  • Indian Trail, NC
  • NPI 1659488872
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1801959580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13803 INDEPENDENCE BLVD STE E",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797680",
            "telephone_number": "704-882-0192",
            "fax_number": "704-882-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13803 INDEPENDENCE BLVD STE E",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797680",
            "telephone_number": "704-882-0192",
            "fax_number": "704-882-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTRO CHIROPRACTIC OF INDIAN TRAIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "GOTRO",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-882-0192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "2080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890253K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glory Transport Service LLC
• Robyn E Gonzales, FNP
• Diego H. Gonzalez, DDS
• Anna Lindsey Good, PT, DPT
• Dawn Goodman
• Hugh Charles Gotro Jr., D.C.
• Rochelle Marie Gould-McIver, MSW, LCSWA, CDP
• Tarsha-Ann Monique Graham, DPT
• Heather D Grandits
• Abby Greaney, DPT

• Sports Physician Chiropractor in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.