Active NPI
Jeffrey Todd Ashforth, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1881802882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2595
- Practice address
- 10027 Park Cedar Dr
Suite 150
Charlotte, NC 28210-8928 - Phone
- (704) 542-9300
- Fax
- (704) 644-1219
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2595 | NC | Primary |
Addresses
Primary practice location
10027 Park Cedar Dr
Suite 150
Charlotte, NC 28210-8928
Mailing address
10027 Park Cedar Dr
Suite 150
Charlotte, NC 28210-8928
Phone (704) 542-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260210001768 | SC | Practitioner - Chiropractic | 0547312274 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2155 Alabama Ave
Oneonta, AL 35121-1904
9716 Redstone Dr
Indian Land, SC 29707-5406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2595 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relife Pro Corporation | Chiropractor | Current | Accepting new patients |
Locations
9716 Redstone Dr
Indian Land, SC 29707
Phone (803) 992-9966
Organizations & group practices 1
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.
-
- Chiropractor
- Indian Land, SC
- NPI 1083421564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1881802882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10027 PARK CEDAR DR",
"address_2": "SUITE 150",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108928",
"telephone_number": "704-542-9300",
"fax_number": "704-644-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10027 PARK CEDAR DR",
"address_2": "SUITE 150",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108928",
"telephone_number": "704-542-9300",
"fax_number": "704-644-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHFORTH",
"first_name": "JEFFREY",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2595",
"primary": true
}
],
"identifiers": [],
"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 Jul 30, 2009; 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.