MALLARD CREEK CHIROPRACTIC GROUP (NPI# 1609964535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609964535 |
| Entity Type | Organization |
| Organization Name | MALLARD CREEK CHIROPRACTIC GROUP |
| Practice Address |
1905 Jn Pease Place Suite 204 Charlotte NC 28262 |
| Practice Telephone | 7045930031 |
| Practice Fax Number | 7045930058 |
| Mailing Telephone | 7045930031 |
| Mailing Fax Number | 7045930058 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK EVERETT BROWN (DOCTOR OF CHIROPRACTIC PRESIDENT) |
| Authorized Official Telephone | 7045930031 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1819 | NC | Chiropractic Providers |
| Street Address |
1905 JN PEASE PLACE SUITE 204 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538111349 | Mark Everett Brown | Chiropractor | 1905 Jn Pease Place, Ste 204, Charlotte, NC 28262 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001776 | Abigail Plowcha | Chiropractor | 4818 Charlton Ln, Charlotte, NC 28210-2705 | 2020-10-22 |
| 1821602707 | Jose Cruz Troche | Chiropractor | 6253 South Blvd, Charlotte, NC 28217-4440 | 2020-09-08 |
| 1386268233 | Alison Day | Chiropractor | 1533 Pecan Ave, Charlotte, NC 28205-3415 | 2020-06-05 |
| 1881218808 | Evolve Health & Wellness, Pllc | Chiropractor | 3533 Providence Manor Rd, Charlotte, NC 28270-0794 | 2020-06-05 |
| 1306467196 | Lee Christopher Vang | Chiropractor | 6600 Touchwood Dr, Charlotte, NC 28227-8051 | 2020-05-03 |
| 1689200495 | Pannell Wellness Solutions Pllc | Chiropractor | 10716 Overlook Mountain Dr, Charlotte, NC 28216-7812 | 2020-03-13 |
| 1275168288 | Chirosagge, Pllc | Chiropractor | 5200 Park Rd Ste 102-b, Charlotte, NC 28209-3650 | 2020-03-10 |
| 1265064844 | Ka Bao Chang | Chiropractor | 6625 Pawnee Dr, Charlotte, NC 28214-2849 | 2020-02-11 |
| 1538703137 | Gg Chiropractic LLC | Chiropractor | 8811 Blakeney Professional Dr Ste 120, Charlotte, NC 28277-6599 | 2019-11-06 |
| 1205477502 | Family First Chiropractic and Acupuncture Pllc | Chiropractor | 6303 Carmel Rd Ste 101, Charlotte, NC 28226-8281 | 2019-10-08 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.