KINETIC SPINE & SPORTS (NPI# 1902156474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902156474 |
| Entity Type | Organization |
| Organization Name | KINETIC SPINE & SPORTS |
| Practice Address |
1928 Weddington Rd Weddington NC 28104-8318 |
| Practice Telephone | 7048490344 |
| Practice Fax Number | 7048490521 |
| Mailing Telephone | 7048490344 |
| Mailing Fax Number | 7048490521 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | DR. DANIEL EDWARD DANIELEY (OWNER) |
| Authorized Official Telephone | 7048490344 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 4183 | SC | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 3711 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH4183 | 05 |
| Street Address |
1928 WEDDINGTON RD |
| City | WEDDINGTON |
| State | NC |
| Zip Code | 28104-8318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639149552 | Henry Ronald Emery Jr. | Family Medicine | 1928 Weddington Rd, Weddington, NC 28104-8318 | 2006-01-24 |
| 1629514559 | Gina Antoinette Robinson | Physician Assistant | 1928 Weddington Rd, Weddington, NC 28104-8318 | 2017-01-17 |
| 1659775500 | Liberty Family Physicians | Family Medicine | 1928 Weddington Rd, Weddington, NC 28104-8318 | 2014-10-20 |
| 1881097616 | Jamie Lynn Pearman | Physician Assistant | 1928 Weddington Rd, Weddington, NC 28104-8318 | 2014-10-07 |
| 1245438753 | Daniel Edward Danieley | Chiropractor | 1928 Weddington Rd, Weddington, NC 28104 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038133 | Robert Anthony Baldinell | Behavior Technician | 4224 Weddington Matthews Rd, Wedding, NC 28104 | 2020-03-19 |
| 1740841972 | Jennifer Louise Lowder | Occupational Therapist | 3653 Huntington Drive, Matthews, NC 28104 | 2019-06-27 |
| 1669954608 | Novant Medical Group, Inc. | Family Medicine | 6488 Weddington-monroe, Wesley Chapel, NC 28104 | 2018-09-06 |
| 1427565704 | Hiren Patel D.m.d. II, Pa | Clinic/Center | 2925 Matthews Weddington Road, Suite 200, Matthews, NC 28104 | 2018-01-08 |
| 1073069274 | Amie Freeman | Pharmacist | 6300 Weddington-monroe Rd, Matthews, NC 28104 | 2016-08-28 |
| 1568819928 | Katelyn Koch | Behavioral Analyst | 4225 Weddington Matthews Road, Weddington, NC 28104 | 2016-05-16 |
| 1396103958 | Kristen Smith | Advanced Practice Midwife | 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 | 2016-02-10 |
| 1407226137 | Ulla Svane Chiropractic Pllc | Clinic/Center | 13635 Providence Road, Weddington, NC 28104 | 2015-10-07 |
| 1699159392 | Anait Balasanyan | Dentist | 5922 Weddington-monroe Rd., Ste A-2, Wesley Chapel, NC 28104 | 2015-07-13 |
| 1780082461 | Balasanyan & Associates Pllc | Dentist | 5922 Weddington-monroe Rd, Suite A2, Wesley Chapel, NC 28104 | 2014-12-12 |
| Find all providers in zip 28104 | ||||
| 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 |
|---|---|---|---|---|
| 1427363563 | Buckingham Chiropractic P.l.l.c. | Chiropractor | 13637 Providence Rd, Weddington, NC 28104-9373 | 2010-08-12 |
| 1396767299 | George Alexander Limbanovnos | Chiropractor | 1934 Weddington Rd, Weddington, NC 28104-8318 | 2006-07-23 |
| 1245438753 | Daniel Edward Danieley | Chiropractor | 1928 Weddington Rd, Weddington, NC 28104 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001776 | Abigail Plowcha | Chiropractor | 4818 Charlton Ln, Charlotte, NC 28210-2705 | 2020-10-22 |
| 1154920056 | Willow Health and Wellness | Chiropractor | 643 Greenway Rd Ste K1, Boone, NC 28607-4840 | 2020-10-21 |
| 1639778855 | Brittany Alexa Kopec | Chiropractor | 916 W Morgan St, Raleigh, NC 27603-1512 | 2020-10-19 |
| 1598363343 | Sierra Davis | Chiropractor | 8420 New Town Rd Ste 102, Waxhaw, NC 28173-7088 | 2020-10-14 |
| 1225644024 | Tory Hall | Chiropractor | 8424 Ovation Dr, Cary, NC 27513-2646 | 2020-09-17 |
| 1821602707 | Jose Cruz Troche | Chiropractor | 6253 South Blvd, Charlotte, NC 28217-4440 | 2020-09-08 |
| 1720692924 | Scott Chiropractic LLC | Chiropractor | 1075 Walmart Dr, Williamston, NC 27892-9749 | 2020-09-04 |
| 1437763711 | Robert Cameron Browney | Chiropractor | 41 N Merrimon Ave Unit 111, Woodfin, NC 28804-1364 | 2020-09-03 |
| 1467066076 | Christopher Mckechnie | Chiropractor | 827 Heart Wood Loop Rd Ne, Leland, NC 28451-9419 | 2020-09-01 |
| 1548873706 | Hunter Samuel Buckley | Chiropractor | 8928 Us 70 Bus Hwy W Ste 700, Clayton, NC 27520-4847 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| City | WEDDINGTON |
| Zip Code | 28104 |
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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.