Provider Type Icon

ACTIVE LIFE CHIROPRACTIC PLLC NPI 1083994511


NPI Information

NPI: 1083994511
Provider Name: ACTIVE LIFE CHIROPRACTIC, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7940 WILLIAMS POND LN STE 225
CHARLOTTE, NC
ZIP 28277
Phone: (614) 905-7531
Get Directions

ACTIVE LIFE CHIROPRACTIC, PLLC 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. ACTIVE LIFE CHIROPRACTIC, PLLC NPI is 1083994511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7940 WILLIAMS POND LN STE 225
CHARLOTTE, NC
ZIP 28277-411
Phone: (614) 905-7531

The provider's authorized official is Robert Nicolas Mason .
The authorized official title is Owner and has the following contact phone number (614) 905-7531.

The enumeration date for this NPI number is 8/29/2011 and was last updated on 9/12/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4135NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14182991MEDICARE PINNORTH CAROLINA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.