Active NPI
Ismail Camara, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1891448619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5316
- Practice address
- 5200 Park Rd Ste 117
Charlotte, NC 28209-3669 - Phone
- (704) 703-5232
- NPI assigned
- Feb 1, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 5316 | NC | Primary |
Addresses
Primary practice location
5200 Park Rd Ste 117
Charlotte, NC 28209-3669
Mailing address
4932 Penny Point PL
Charlotte, NC 28212-8569
Phone (704) 605-5069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250428000349 | NC | Practitioner - Chiropractic | 5496271066 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Chiropractic Group PLLCCarolina Chiropractic Group of Gastonia PLLC
Practice addresses (Care Compare)
145 W Dixon Blvd
Shelby, NC 28152-6546
Phone (704) 482-0135
528 Union Rd
Gastonia, NC 28054-4450
Phone (704) 867-1010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5316 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Chiropractic Group PLLC | Chiropractor | Current | Accepting new patients |
| Carolina Chiropractic Group of Gastonia PLLC | Chiropractor | Current | Accepting new patients |
Locations
528 Union Rd
Gastonia, NC 28054
Phone (704) 867-1010
145 W Dixon Blvd
Shelby, NC 28152
Phone (704) 482-0135
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.
-
- Chiropractor
- Gastonia, NC
- NPI 1659156388
-
- Chiropractor
- Shelby, NC
- NPI 1366962623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1891448619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4932 PENNY POINT PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282128569",
"telephone_number": "704-605-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 PARK RD STE 117",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093669",
"telephone_number": "704-703-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARA",
"first_name": "ISMAIL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5316",
"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 Feb 1, 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.