Exodus Chiropractic Charlotte PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4287 Issued in NC

Legal business name

EXODUS CHIROPRACTIC CHARLOTTE PLLC

Practice address

15940 Northcross Dr
Ste B
Huntersville, NC 28078-5062

Phone

(704) 584-9299

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Brian Mahaffy, D.C.NPI 1609121359

Title

Member/Organizer

Phone

(704) 584-9299

Specialties & licenses 1

Addresses

Other names 1

• Exodus Chiropractic International Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Natalie Elizabeth Mahaffy, D.C.

  • Chiropractor
  • Huntersville, NC
  • NPI 1972850758
  Medicare reassignment Care Compare group NPD
• Brandon Brian Mahaffy, D.C.

  • Chiropractor
  • Huntersville, NC
  • NPI 1609121359
  Care Compare group Authorized official

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1972858405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 COLD CREEK PL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783646",
            "telephone_number": "810-841-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15940 NORTHCROSS DR",
            "address_2": "STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785062",
            "telephone_number": "704-584-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS CHIROPRACTIC CHARLOTTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "MAHAFFY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "704-584-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exodus Chiropractic International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eve'S Home Care Services Inc
• Evolve Integrative Counseling, PLLC
• Evolve Pain Management PLLC
• Excel Psychiatric Associates, PA
• Exceptional Lab Solutions, LLC
• Stephen Ezeh
• Jennifer Ezelle
• Sara Bigelow Faber, MD
• Faith Prosthetic-Orthotic Services, Inc.
• Family Healthcare of Lake Norman PC

• Chiropractor in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.