Individual provider Active NPI

Denise Ustik Hoffecker, DC,L.A.C

  • Acupuncturist
  • Charlotte, NC
National Provider Identifier
1992988091
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
424 Issued in NC
Practice address
416 McCullough Dr
Suite 155
Charlotte, NC 28262-4385
Phone
(704) 548-8818
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1922 NC
Acupuncturist 171100000X 424 NC Primary

Addresses

Primary practice location

416 McCullough Dr
Suite 155
Charlotte, NC 28262-4385

Mailing address

416 McCullough Dr
Suite 155
Charlotte, NC 28262-4385
Phone (704) 548-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
424NCMDMental Health Counselor
1922NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1992988091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR",
            "address_2": "SUITE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624385",
            "telephone_number": "704-548-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR",
            "address_2": "SUITE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624385",
            "telephone_number": "704-548-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFECKER",
        "first_name": "DENISE",
        "middle_name": "USTIK",
        "name_prefix": "Dr.",
        "credential": "DC,L.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1922",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "424",
            "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 Jul 22, 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.