Staten Chiropractic and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3133 Issued in NC

Legal business name

STATEN CHIROPRACTIC AND WELLNESS CENTER

Practice address

5110 Park Rd
Suite 2a
Charlotte, NC 28209-3699

Phone

(704) 771-6092

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tara Marcella Staten, DC

Title

Chiropractic Physician

Phone

(704) 561-0085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Tara Staten Glover, DC

  • Chiropractor
  • Charlotte, NC
  • NPI 1083781868
  Medicare reassignment NPD
• Cheri Snipes, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1861752511
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1891958070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 PARK RD",
            "address_2": "SUITE 2A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093699",
            "telephone_number": "704-561-0085",
            "fax_number": "704-561-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 PARK RD",
            "address_2": "SUITE 2A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093699",
            "telephone_number": "704-771-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "STATEN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MARCELLA",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "704-561-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Stasiak
• Eva Mae Stassen, FNP
• Stat Etc, Inc.
• Stat Wellness Charlotte PLLC
• State of North Carolina Home Care
• Lindsey Ann Staten, OT
• Shasta Gabrielle Staten, MED, LPC
• Jennifer Statis, MD
• Dakeita L Staton
• Jesseyetta Lavetta Staton, LCSWA

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.