Active NPI
Permenter Chiropractic, Inc.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1851496434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2671
- Legal business name
- PERMENTER CHIROPRACTIC, INC.
- Practice address
- 9123 Monroe Rd Ste 100
Charlotte, NC 28270-2456 - Phone
- (704) 569-3130
- Fax
- (704) 569-9797
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Jason Permenter, DC
- Title
- Ceo
- Phone
- (704) 569-3130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2671 | NC | Primary |
Addresses
Primary practice location
9123 Monroe Rd Ste 100
Charlotte, NC 28270-2456
Mailing address
9123 Monroe Rd Ste 100
Charlotte, NC 28270-2456
Phone (704) 569-3130
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 963043003 | Other | NC | CIGNA |
| 790838F | Medicaid | NC | |
| 0838F | Other | NC | BCBS |
| 7572054 | Other | NC | AETNA - PPO |
| 2117085094101 | Other | NC | BEECH STREET |
| 3467419 | Other | NC | AETNA - HMO |
| 606834-980061 | Other | NC | ACN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9123 Monroe Rd
Ste 100
Charlotte, NC 28270
Phone (704) 569-3130
2301 Village Lake Dr
Charlotte, NC 28212
Phone (704) 569-3130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charlotte, NC
- NPI 1164422192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642636800000",
"number": "1851496434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9123 MONROE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702456",
"telephone_number": "704-569-3130",
"fax_number": "704-569-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9123 MONROE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702456",
"telephone_number": "704-569-3130",
"fax_number": "704-569-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERMENTER CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "PERMENTER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-569-3130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "2671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "963043003",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790838F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0838F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - PPO",
"identifier": "7572054",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "2117085094101",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "3467419",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "606834-980061",
"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 Jan 20, 2022; 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.