DR. TIMOTHY DE VILLA MANGLICMOT DC
NPI 1366208100
Chiropractor in Charlotte, NC

Q: What is Timothy Manglicmot's NPI number?

The NPI number for Timothy Manglicmot is 1366208100. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Q: What is Timothy Manglicmot's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since February 27, 2024

1636 SARDIS RD N STE 130, CHARLOTTE, NC 28270(980) 245-2852 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Timothy De Villa Manglicmot Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY DE VILLA MANGLICMOT DC (NPI 1366208100) is an individual chiropractor in Charlotte, North Carolina, licensed in North Carolina (5728) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1366208100

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. TIMOTHY DE VILLA MANGLICMOTCredential: DC

Location Address1636 SARDIS RD N STE 130Charlotte, NC 28270-2411

Mailing Address1636 Sardis Rd N Ste 130Charlotte, NC 28270-2411 · (980) 245-2852

Phone(980) 245-2852

Sole ProprietorNo

Enumeration DateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1366208100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NC · 5728

Definition

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.

1636 SARDIS RD N STE 130, Charlotte, NC 28270

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Manglicmot's NPI number?

The NPI number for Timothy Manglicmot is 1366208100. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Where is Timothy Manglicmot located?

Timothy Manglicmot practices at 1636 Sardis Rd N Ste 130, Charlotte, NC 28270. The listed phone number is (980) 245-2852.

What is Timothy Manglicmot's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Timothy Manglicmot was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.