Organization Active NPI

Michael J Meehan, DC, PLLC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1942487962
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2216 Issued in NC
Legal business name
MICHAEL J MEEHAN, DC, PLLC
Practice address
3315 Springbank LN
Suite 304
Charlotte, NC 28226-3197
Phone
(704) 544-6711
Fax
(704) 544-6710
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Michael J Meehan, DCNPI 1881619278
Title
Member
Phone
(704) 544-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2216 NC Primary

Addresses

Primary practice location

3315 Springbank LN
Suite 304
Charlotte, NC 28226-3197

Mailing address

3315 Springbank LN
Suite 304
Charlotte, NC 28226-3197
Phone (704) 544-6711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000392 NC Part B Supplier - Clinic/Group Practice 6406938539 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

3315 Springbank Ln
Ste 304
Charlotte, NC 28226
Phone (704) 544-6711

Practitioners & affiliated clinicians

Practitioners 2

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1942487962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN",
            "address_2": "SUITE 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263197",
            "telephone_number": "704-544-6711",
            "fax_number": "704-544-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN",
            "address_2": "SUITE 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263197",
            "telephone_number": "704-544-6711",
            "fax_number": "704-544-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J MEEHAN, DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-544-6711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2216",
            "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 22, 2008; 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.