Organization Active NPI

Dougherty Villalobos Chiropractic, PLLC

Doing business as Outbound Chiropractic

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1891355939
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DOUGHERTY VILLALOBOS CHIROPRACTIC, PLLC
Doing business as
Outbound Chiropractic
Practice address
10700 Kettering Dr Ste C
Charlotte, NC 28226-3771
Phone
(980) 225-7042
NPI assigned
Jun 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Dr. Connor Dougherty, DC
Title
Owner
Phone
(980) 225-7042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10700 Kettering Dr Ste C
Charlotte, NC 28226-3771

Mailing address

10700 Kettering Dr Ste C
Charlotte, NC 28226-3771

Other names 1

  • Outbound Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL outboundchiro@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

10700 Kettering Dr
Ste C
Charlotte, NC 28226
Phone (980) 225-7042

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1891355939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263771",
            "telephone_number": "980-225-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTY VILLALOBOS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-225-7042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "outboundchiro@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "10700 Kettering Dr Ste C",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282263771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Outbound Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 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.