{"npi":"1295831246","type":"NPI-2","status":"active","name":{"display":"Cheuvront Clinic Of Chiropractic & Sports Medicine INC","other":[],"organization_name":"CHEUVRONT CLINIC OF CHIROPRACTIC & SPORTS MEDICINE INC","authorised_official":"Timothy Cheuvront"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"NC","license":"2128"}]},"addresses":[{"purpose":"LOCATION","street_1":"455 W JOHN ST","city":"MATTHEWS","state":"NC","postal_code":"281055354","country_code":"US","phone":"7048412200","fax":"7048412534"},{"purpose":"MAILING","street_1":"455 W JOHN ST","city":"MATTHEWS","state":"NC","postal_code":"281055354","country_code":"US","phone":"7048412200","fax":"7048412534"}],"license":{"state":"NC","number":"2128"},"identifiers":[{"type_code":"01","label":"Other","value":"5315633","state":"NC","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"0872E","state":"NC","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"890872E","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090512000660","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"0840349387"}]},"enumeration_date":"2006-09-16","last_updated":"2024-10-23","_meta":{"source":"NPPES","snapshot_date":"2024-10-23","doc_url":"https://findmynpi.com/api"}}