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

Q: What is Estramonte Chiropractic & Wellness Center's specialty?

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

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: August 09, 2026.

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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

Phone(704) 405-7000

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

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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

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMIL LARA

Chiropractor