Individual provider Active NPI

Dean Raymond Estramonte, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1891708293
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4184 Issued in NC
Practice address
4024 Triangle Dr
Charlotte, NC 28208-2828
Phone
(704) 941-6000
Fax
(704) 941-6001
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4184 NC Primary

Addresses

Primary practice location

4024 Triangle Dr
Charlotte, NC 28208-2828

Mailing address

4016 Triangle Dr
Charlotte, NC 28208-2828
Phone (704) 392-1338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000536 NC Practitioner - Chiropractic 0648450973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Estramonte Chiropractic West PAGroup PAC ID 1951587583, 2 clinicians

Practice addresses (Care Compare)

4016 Triangle Dr
Charlotte, NC 28208-2828
Phone (704) 392-1338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
7326NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Estramonte Chiropractic West PA Chiropractor CurrentSince Jul 2, 2014 Accepting new patients
Whipple City Family Chiropractic Chiropractor Past Accepting new patients

Locations

4016 Triangle Dr
Charlotte, NC 28208
Phone (704) 392-1338

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1891708293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 TRIANGLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082828",
            "telephone_number": "704-392-1338",
            "fax_number": "704-398-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 TRIANGLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082828",
            "telephone_number": "704-941-6000",
            "fax_number": "704-941-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRAMONTE",
        "first_name": "DEAN",
        "middle_name": "RAYMOND",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4184",
            "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 Jan 5, 2017; 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.