Organization Active NPI

Kannapolis Chiropractic, PC

Doing business as Kannapolis Spine & Wellness Center

  • Chiropractor
  • Kannapolis, NC
National Provider Identifier
1972575314
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2908 Issued in NC
Legal business name
KANNAPOLIS CHIROPRACTIC, PC
Doing business as
Kannapolis Spine & Wellness Center
Practice address
1909 S Cannon Blvd
Kannapolis, NC 28083-6107
Phone
(704) 938-1400
Fax
(704) 938-5892
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Dr. Andrew Robert Matthews, DC
Title
President
Phone
(704) 938-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2908 NC Primary

Addresses

Primary practice location

1909 S Cannon Blvd
Kannapolis, NC 28083-6107

Mailing address

1909 S Cannon Blvd
Kannapolis, NC 28083-6107
Phone (704) 938-1400

Other identifiers 1

IdentifierTypeStateIssuer
89085AXMedicaidNC

Other names 1

  • Kannapolis Spine & Wellness Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1972575314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 S CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836107",
            "telephone_number": "704-938-1400",
            "fax_number": "704-938-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 S CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836107",
            "telephone_number": "704-938-1400",
            "fax_number": "704-938-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANNAPOLIS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-938-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085AX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kannapolis Spine & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.