30 CHIROPRACTIC NPI 1992063861

NPI Information

  • NPI: 1992063861
  • Provider Name: 30 CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 616 INDIAN TRAIL RD S
    INDIAN TRAIL, NC
    ZIP 28079
  • Phone: (704) 821-5000

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NPI Details

30 CHIROPRACTIC is a chiropractor in Indian Trail, 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. 30 CHIROPRACTIC NPI is 1992063861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

616 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079-680
Phone: (704) 821-5000

The provider's authorized official is John Monbarren .
The authorized official title is Managing Member and has the following contact phone number (704) 821-5000.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.

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
1111N00000XChiropractor3197NORTH 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
12457840MEDICARE PINNORTH CAROLINA
25900344MEDICAIDNORTH CAROLINA
3U35813MEDICARE UPINNORTH 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: 11/21/2025

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