Provider Type Icon

CHESTNUT FAMILY PRACTICE PLLC NPI 1134654338


NPI Information

NPI: 1134654338
Provider Name: CHESTNUT FAMILY PRACTICE, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 34D2131699

Address:
1013 CHESTNUT LN
SUITE 110
MATTHEWS, NC
ZIP 28104
Phone: (704) 268-9267
Get Directions

CHESTNUT FAMILY PRACTICE, PLLC is a clinic center in Matthews, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CHESTNUT FAMILY PRACTICE, PLLC NPI is 1134654338. The provider is registered as an organization entity type.

The provider's business location address is:

1013 CHESTNUT LN
SUITE 110
MATTHEWS, NC
ZIP 28104-566
Phone: (704) 268-9267

The provider's authorized official is Susan Elise Ladd-snively .
The authorized official title is Owner and has the following contact phone number (704) 268-9267.

The CLIA number assigned to this NPI record is 34D2131699 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/25/2017 and was last updated on 5/1/2017.


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
1261Q00000XClinic/Center220342NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12018160AMEDICARE 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: 5/5/2024

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.