Individual provider Active NPI

Parker Ward III, D.C.

  • Chiropractor
  • Waxhaw, NC
National Provider Identifier
1871032979
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5106 Issued in NC
Practice address
105 Waxhaw Professional Park Dr Ste a
Waxhaw, NC 28173-5018
Phone
(704) 243-1010
NPI assigned
Feb 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009717 GA
Chiropractor 111N00000X 5106 NC Primary

Addresses

Primary practice location

105 Waxhaw Professional Park Dr Ste a
Waxhaw, NC 28173-5018

Mailing address

105 Waxhaw Professional Park Dr Ste a
Waxhaw, NC 28173-5018
Phone (704) 243-1010

Other practice location 1

2545 Lawrenceville Hwy Ste 100
Decatur, GA 30033
Phone (404) 377-1212

Other practice location 2

8832 Blakeney Professional Dr Ste 100
Charlotte, NC 28277-6731
Phone (704) 817-7618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212003148 NC Practitioner - Chiropractic 5496188997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas CC Chiropractic PLLCGroup PAC ID 5991847949, 5 clinicians

Practice addresses (Care Compare)

101 G Waxhaw Prof PK Dr
Waxhaw, NC 28173-0501
Phone (704) 243-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009717GAMDChiropractor
5106NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weddington Chiropractic Wellness Center CurrentSince Nov 20, 2019 Accepting new patients
Carolinas CC Chiropractic PLLC Chiropractor CurrentSince May 17, 2022 Accepting new patients

Locations

8832 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 817-6718

8832 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 363-5530

11940 Carolina Place Pkwy
Ste 102
Pineville, NC 28134
Phone (704) 243-1010

101 Waxhaw Pkwy
#G
Waxhaw, NC 28173
Phone (704) 243-1010

105 Waxhaw Professional Park Dr
Ste A
Waxhaw, NC 28173
Phone (704) 243-1010

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1871032979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WAXHAW PROFESSIONAL PARK DR STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735018",
            "telephone_number": "704-243-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WAXHAW PROFESSIONAL PARK DR STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735018",
            "telephone_number": "704-243-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 Lawrenceville Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "30033",
            "country_code": "US",
            "telephone_number": "404-377-1212",
            "fax_number": "770-939-9353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8832 Blakeney Professional Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282776731",
            "country_code": "US",
            "telephone_number": "704-817-7618",
            "fax_number": "704-817-7887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "PARKER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009717",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.