Individual provider Active NPI

Laurie Grovine, D.C.

  • Sports Physician Chiropractor
  • Charlotte, NC
National Provider Identifier
1891875779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2247 Issued in NC
Practice address
10701 Park Rd
Suite G
Charlotte, NC 28210-8492
Phone
(704) 544-8844
Fax
(704) 544-8631
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2247 NC Primary

Addresses

Primary practice location

10701 Park Rd
Suite G
Charlotte, NC 28210-8492

Mailing address

10701 Park Rd
Suite G
Charlotte, NC 28210-8492
Phone (704) 544-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Charlotte Pain Relief Center, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891875779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 PARK RD",
            "address_2": "SUITE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108492",
            "telephone_number": "704-544-8844",
            "fax_number": "704-544-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 PARK RD",
            "address_2": "SUITE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108492",
            "telephone_number": "704-544-8844",
            "fax_number": "704-544-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVINE",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "2247",
            "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 8, 2007; 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.