NPIMap

Organization Active NPI

Restore Chiropractic Family Wellness Center

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1013322684
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3250 Issued in SC
Legal business name
RESTORE CHIROPRACTIC FAMILY WELLNESS CENTER
Practice address
9016 Farrow Rd Ste B
Columbia, SC 29203-8933
Phone
(803) 699-8171
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Martia Creighton Thigpen, D.C.NPI 1215122890
Title
Manager
Phone
(803) 699-8171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3250 SC Primary

Addresses

Primary practice location

9016 Farrow Rd Ste B
Columbia, SC 29203-8933

Mailing address

9016 Farrow Rd Ste B
Columbia, SC 29203-8933

Other names 1

  • Restore Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150206000140 SC Part B Supplier - Clinic/Group Practice 5890010219 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory
Tax ID family
Restore Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9016 Farrow Rd
Ste B
Columbia, SC 29203
Phone (803) 699-8171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1013322684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 FARROW RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9016 FARROW RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038933",
            "telephone_number": "803-699-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE CHIROPRACTIC FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "CREIGHTON THIGPEN",
        "authorized_official_first_name": "MARTIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-699-8171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.