Organization Active NPI

Park Road Health and Wellness Inc

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1922310754
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4049 Issued in NC
Legal business name
PARK ROAD HEALTH AND WELLNESS INC
Practice address
4312 Park Rd
Charlotte, NC 28209-2271
Phone
(704) 523-2367
Fax
(704) 523-9937
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Dr. Jeremy Hozjan, DC
Title
President
Phone
(704) 523-2367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4049 NC Primary

Addresses

Primary practice location

4312 Park Rd
Charlotte, NC 28209-2271

Mailing address

4312 Park Rd
Charlotte, NC 28209-2271
Phone (704) 523-2367

National Provider Directory

National Provider Directory

Locations

4312 Park Rd
Charlotte, NC 28209
Phone (704) 523-2367

4600 Park Rd
Ste 380
Charlotte, NC 28209
Phone (704) 236-8245

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1922310754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092271",
            "telephone_number": "704-523-2367",
            "fax_number": "704-523-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092271",
            "telephone_number": "704-523-2367",
            "fax_number": "704-523-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK ROAD HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "HOZJAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-523-2367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4049",
            "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 9, 2010; 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.