KEITH CLINIC OF CHIROPRACTIC AND ESTRAMONTE WELLNESS
NPI 1700807534
Chiropractor in Charlotte, NC

Active since July 21, 2006CLIA 34D2172180 · Waiver
402 E SUGAR CREEK RD, CHARLOTTE, NC 28213(704) 405-7000(704) 405-7001 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keith Clinic Of Chiropractic And Estramonte Wellness NPPES

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

KEITH CLINIC OF CHIROPRACTIC AND ESTRAMONTE WELLNESS (NPI 1700807534) is a healthcare organization registered as a chiropractor in Charlotte, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Debra L Hudson, Accounts Receivable Analyst, as its authorized official.

NPPES Registry Identity

NPI1700807534
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameESTRAMONTE CHIROPRACTIC & WELLNESS CENTER
Location Address402 E SUGAR CREEK RDCharlotte, NC 28213-6913
Mailing Address402 E Sugar Creek RdCharlotte, NC 28213-6913 · (704) 405-7000 · Fax (704) 405-7001
Fax(704) 405-7001
Organization SubpartNo
Authorized OfficialDebra L HudsonAccounts Receivable Analyst · (704) 420-4690
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1700807534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
402 E SUGAR CREEK RD, Charlotte, NC 28213

Other Names 1

Doing Business AsKeith Clinic Of Chiropractic And Estramonte Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Clinic Of Chiropractic And Estramonte Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Keith Clinic Of Chiropractic And Estramonte Wellness, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Chiropractic
NPI 1366064867
402 E SUGAR CREEK RD
Charlotte, NC 28213
(704) 461-0744
Same address
Chiropractic
NPI 1336560580
402 E SUGAR CREEK RD
Charlotte, NC 28213
(704) 405-7000
✔ Accepts MedicareSame address
Chiropractic
NPI 1861907081
402 E SUGAR CREEK RD
Charlotte, NC 28213
(704) 405-7000
Same address
Chiropractic
NPI 1598104630
5344 CENTRAL AVE
Charlotte, NC 28212
(704) 940-4000
✔ Accepts Medicare3.9 mi
Chiropractic
NPI 1235674771
2728 W MALLARD CREEK CHURCH RD STE 330
Charlotte, NC 28262
(980) 585-4005
6.2 mi
Chiropractic
NPI 1376397588
6859 SOUTH BLVD
Charlotte, NC 28217
(704) 275-5477
9.2 mi
Chiropractic
NPI 1114095338
7840 HIGHWAY 73
Stanley, NC 28164
(704) 953-1801
17 mi
Chiropractic
NPI 1982921318
1309 E SUNSET DR
Monroe, NC 28112
(704) 296-9090
25 mi
Chiropractic
NPI 1558863985
539 HWY 9 BYPASS EAST
Lancaster, SC 29720
(803) 286-5700
36 mi
Chiropractic
NPI 1023561875
1515 HANES MALL BLVD
Winston Salem, NC 27103
(336) 773-7373
✔ Accepts Medicare62 mi
Chiropractic
NPI 1053092106
1001 IVES DAIRY RD STE 206
Miami, FL 33179
(786) 272-5697
✔ Accepts Medicare641 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2172180

Estramonte Chiropractic & Wellness Center · Charlotte, NC
Active · expires Sep 16, 2027
CLIA Number34D2172180
Laboratory TypeChiropractic Physician
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorSilver L. Jayne
Laboratory Phone(704) 405-7000
Laboratory LocationEstramonte Chiropractic & Wellness Center402 East Sugar Creek Road, Charlotte, NC 28213
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Estramonte Chiropractic & Wellness Center's NPI number?

The NPI number for Estramonte Chiropractic & Wellness Center is 1700807534. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Keith Clinic Of Chiropractic And Estramonte Wellness.

Where is Estramonte Chiropractic & Wellness Center located?

Estramonte Chiropractic & Wellness Center is located at 402 E Sugar Creek Rd, Charlotte, NC 28213. The listed phone number is (704) 405-7000.

What is Estramonte Chiropractic & Wellness Center's specialty?

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

Is Estramonte Chiropractic & Wellness Center enrolled in Medicare?

Yes. Estramonte Chiropractic & Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Estramonte Chiropractic & Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Chiropractic, reassign their Medicare billing to Estramonte Chiropractic & Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Estramonte Chiropractic & Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2172180) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Estramonte Chiropractic & Wellness Center was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.