Carolina Spine & Rehab Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3178 Issued in NC

Legal business name

CAROLINA SPINE & REHAB CENTER

Practice address

5110 Park Rd Ste 2a
Charlotte, NC 28209-3745

Phone

(704) 525-8850

Fax

(704) 525-8860

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Jane S Ciucevich

Title

Office Manager

Phone

(704) 624-0527

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821114117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 PARK RD STE 2A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093745",
            "telephone_number": "704-525-8850",
            "fax_number": "704-525-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 PARK RD STE 2A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093745",
            "telephone_number": "704-525-8850",
            "fax_number": "704-525-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPINE & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIUCEVICH",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-624-0527"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Respiratory Specialists LLP
• Carolina Respite LLC
• Carolina Retina and Vitreous Consultants, PA
• Carolina Skin Surgery Center PA
• Carolina Speech Services, Inc.
• Carolina Spine and Rehab
• Carolina Sports Chiropractic PLLC
• Carolina Stem Cell Institute LLC
• Carolina Surgical Clinic of Charlotte, PA
• Carolina Therapeutic Services First

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.