NPIMap

Organization Active NPI

Carolina Sports Chiropractic PLLC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1902034846
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3687 Issued in NC
Legal business name
CAROLINA SPORTS CHIROPRACTIC PLLC
Practice address
8912 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6660
Phone
(704) 544-5353
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Joshua Louis Kollmann, D.O.
Title
Owner/Chiropractor
Phone
(704) 544-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3687 NC Primary

Addresses

Primary practice location

8912 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6660

Mailing address

8912 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6660
Phone (704) 544-5353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130116000037 NC Part B Supplier - Clinic/Group Practice 1254584659 Receives reassigned benefits from 20 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

6060 Piedmont Row Dr S
Ste 140
Charlotte, NC 28287
Phone (704) 544-5353

8912 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 544-5353

8912 Blakeney Professional Dr
Ste D
Charlotte, NC 28277

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1902034846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776660",
            "telephone_number": "704-544-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776660",
            "telephone_number": "704-544-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPORTS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "KOLLMANN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "704-544-5352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3687",
            "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 Jun 30, 2009; 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.