David Mathew Innis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1394 Issued in NC

Practice address

9929 Albemarle Rd
Ste 3B
Charlotte, NC 28227-3363

Phone

(704) 545-7410

Fax

(704) 545-9686

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eastwind Chiropractic Center

  • Chiropractor
  • Charlotte, NC
  • NPI 1225318611
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1881764082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9929 ALBEMARLE RD",
            "address_2": "STE 3B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273363",
            "telephone_number": "704-545-7410",
            "fax_number": "704-545-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 ALBEMARLE RD",
            "address_2": "STE 3B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273363",
            "telephone_number": "704-545-7410",
            "fax_number": "704-545-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNIS",
        "first_name": "DAVID",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908353",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innerchange Homes LLC
• Innergy, LLC
• Innerlink Alliance Care Solutions
• Innervision Inc.
• Innervision, Inc.
• Robert Mathew Innis, D.C.
• Innocent Bee LLC
• Innovation Health LLC
• Innovations Counseling and Consulting Services PLLC
• Innovative Community Resources NC Inc

• 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 Jul 10, 2019; 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.