NOVA CHIROPRACTIC NPI 1073955514

NPI Information

  • NPI: 1073955514
  • Provider Name: NOVA CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 3535 RANDOLPH RD
    SUITE 202R
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 208-4477

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NPI Details

NOVA CHIROPRACTIC is a chiropractor in Charlotte, NC. The provider is 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. NOVA CHIROPRACTIC NPI is 1073955514. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3535 RANDOLPH RD
SUITE 202R
CHARLOTTE, NC
ZIP 28211-086
Phone: (704) 208-4477
Fax: (704) 665-5167

The provider's authorized official is Jeffrey Carlisle .
The authorized official title is President and has the following contact phone number (704) 208-4477.

The enumeration date for this NPI number is 7/25/2013 and was last updated on 7/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2071NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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