Organization Active NPI

Brittian Chiropractic Charlotte, PLLC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1962102228
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRITTIAN CHIROPRACTIC CHARLOTTE, PLLC
Practice address
4832 Park Rd Ste J
Charlotte, NC 28209-4206
Phone
(704) 919-1076
NPI assigned
Mar 6, 2023
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Dr. Calvin Charles Saunders, DCNPI 1508509225
Title
Member/Owner
Phone
(704) 919-1076

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4832 Park Rd Ste J
Charlotte, NC 28209-4206

Mailing address

4832 Park Rd Ste J
Charlotte, NC 28209-4206
Phone (704) 919-1076

Other identifiers 1

IdentifierTypeStateIssuer
1508509225MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230524003001 NC Part B Supplier - Clinic/Group Practice 5698131290 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

4832 Park Rd
Ste J
Charlotte, NC 28209
Phone (704) 561-9494

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1962102228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 PARK RD STE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094206",
            "telephone_number": "704-919-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4832 PARK RD STE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094206",
            "telephone_number": "704-919-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTIAN CHIROPRACTIC CHARLOTTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "704-919-1076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508509225",
            "state": "NC"
        }
    ],
    "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 Mar 6, 2023; 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.