Active NPI
JP Chiropractic & Posture, LLC
- Chiropractor
- Matthews, NC
National Provider Identifier
1992857155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3352
- Legal business name
- JP CHIROPRACTIC & POSTURE, LLC
- Practice address
- 101 E Matthews St
Suite 700
Matthews, NC 28105-4866 - Phone
- (704) 841-1701
- Fax
- (704) 841-1596
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeongpil Park, D.C.
- Title
- President
- Phone
- (704) 841-1701
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3352 | NC | Primary |
Addresses
Primary practice location
101 E Matthews St
Suite 700
Matthews, NC 28105-4866
Mailing address
101 E Matthews St
Suite 700
Matthews, NC 28105-4866
Phone (704) 841-1701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902382 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
101 E Matthews St
Ste 700
Matthews, NC 28105
Phone (704) 841-0871
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Matthews, NC
- NPI 1780656546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1992857155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E MATTHEWS ST",
"address_2": "SUITE 700",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054866",
"telephone_number": "704-841-1701",
"fax_number": "704-841-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E MATTHEWS ST",
"address_2": "SUITE 700",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054866",
"telephone_number": "704-841-1701",
"fax_number": "704-841-1596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JP CHIROPRACTIC & POSTURE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "JEONGPIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-841-1701",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "3352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902382",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.