NPIMap

Organization Active NPI

Paradigm Care Group PA

Doing business as Dynamic Health Center

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1831100056
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2468 Issued in NC
Legal business name
PARADIGM CARE GROUP PA
Doing business as
Dynamic Health Center
Practice address
5215 South Blvd Ste a
Charlotte, NC 28217-2771
Phone
(704) 525-6288
Fax
(704) 525-6384
NPI assigned
Aug 11, 2006
Last updated
Jan 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Peter T Cox Jr., D.C.NPI 1861404840
Title
Ceo
Phone
(704) 525-6288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2468 NC Primary

Addresses

Primary practice location

5215 South Blvd Ste a
Charlotte, NC 28217-2771

Mailing address

5215 South Blvd Ste a
Charlotte, NC 28217-2771
Phone (704) 525-6288

Other identifiers 4

IdentifierTypeStateIssuer
7211998MedicaidNC
0104HOtherBLUECROSS BLUESHIELD
017U5OtherBLUECROSS BLUESHIELD
790104HMedicaidNC

Other names 1

  • Dynamic Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

4707 South Blvd
Charlotte, NC 28217
Phone (704) 525-6288

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1831100056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 SOUTH BLVD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172771",
            "telephone_number": "704-525-6288",
            "fax_number": "704-525-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 SOUTH BLVD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172771",
            "telephone_number": "704-525-6288",
            "fax_number": "704-525-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM CARE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-525-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211998",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0104H",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "017U5",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790104H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 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.