Greater Life Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4490 Issued in NC

Legal business name

GREATER LIFE CHIROPRACTIC

Practice address

624 Tyvola Rd
Suite 100
Charlotte, NC 28217-3578

Phone

(704) 770-8436

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Grant Lisetor, DCNPI 1477957371

Title

Chiropractor

Phone

(704) 770-8436

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Grant Lisetor, DC

  • Chiropractor
  • Charlotte, NC
  • NPI 1477957371
  Medicare reassignment NPD Authorized official
• Patrick Lee Houser, B.S, D.C

  • Neurology Chiropractor
  • Charlotte, NC
  • NPI 1912565755
  Medicare reassignment NPD
• Emily De Jesus

  • Chiropractor
  • Rock Hill, SC
  • NPI 1578308383

  NC

  Medicare reassignment NPD
• Kelsey Fierke

  • Chiropractor
  • Charlotte, NC
  • NPI 1447855796
  NPD

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1831595347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TYVOLA RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 TYVOLA RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173578",
            "telephone_number": "704-770-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "LISETOR",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "704-770-8436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Charlotte Oral & Facial Surgery
• Greater Charlotte Oral and Facial Surgery
• Greater Charlotte Sedation Associates LLC
• Greater Charlotte Support Services, PLLC
• Greater Heights Family Services
• Hannah Christine Greco, LCMHCA
• Ellen Asenath Greear, NP-C
• Green Hearts Homecare
• Green Pastures Home Care
• Adrian Green, MSW, LCSW

• 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 Nov 10, 2014; 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.