STATEN CHIROPRACTIC AND WELLNESS CENTER
NPI 1891958070
Chiropractor in Charlotte, NC

Q: What is Staten Chiropractic And Wellness Center's specialty?

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

Active since July 08, 2008

5110 PARK RD, SUITE 2A, CHARLOTTE, NC 28209(704) 771-6092 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Staten Chiropractic And Wellness Center NPPES

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

STATEN CHIROPRACTIC AND WELLNESS CENTER (NPI 1891958070) is a healthcare organization registered as a chiropractor in Charlotte, North Carolina and active in the NPI registry since July 2008. The organization lists Tara Marcella Staten, Chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1891958070

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSTATEN CHIROPRACTIC AND WELLNESS CENTER

Location Address5110 PARK RD, SUITE 2ACharlotte, NC 28209-3699

Mailing Address5110 Park Rd, Suite 2aCharlotte, NC 28209-3699 · (704) 561-0085 · Fax (704) 561-0785

Phone(704) 771-6092

Organization SubpartNo

Authorized OfficialTara Marcella StatenChiropractic Physician · (704) 561-0085

Enumeration DateJuly 8, 2008

Last NPPES UpdateJune 18, 2010

✔ NPI 1891958070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NC · 3133

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.

5110 PARK RD, Charlotte, NC 28209

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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)

Staten Chiropractic And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Staten Chiropractic And Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tara Staten, DC

Chiropractic

NPI 1083781868

224 WESTINGHOUSE BLVD STE 606
Charlotte, NC 28273

(704) 369-5700

✔ Accepts Medicare5.1 mi

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

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 Staten Chiropractic And Wellness Center's NPI number?

The NPI number for Staten Chiropractic And Wellness Center is 1891958070. It was assigned to this organization in the NPPES registry on July 8, 2008.

Where is Staten Chiropractic And Wellness Center located?

Staten Chiropractic And Wellness Center is located at 5110 Park Rd Suite 2A, Charlotte, NC 28209. The listed phone number is (704) 771-6092.

What is Staten Chiropractic And Wellness Center's specialty?

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

Is Staten Chiropractic And Wellness Center enrolled in Medicare?

Yes. Staten Chiropractic And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Staten Chiropractic And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Staten Chiropractic And 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Staten Chiropractic And Wellness Center was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.