Individual provider Active NPI

Courtney Lynn Dexter, DC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1013620335
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4905 Issued in SC
Practice address
224 Oneil CT Ste 21
Columbia, SC 29223-7649
Phone
(803) 788-8831
Fax
(803) 788-8846
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4905 SC Primary

Addresses

Primary practice location

224 Oneil CT Ste 21
Columbia, SC 29223-7649

Mailing address

224 Oneil CT Ste 21
Columbia, SC 29223-7649
Phone (803) 788-8831

Other practice location 1

1709 Saint Julian Pl
Columbia, SC 29204-2409
Phone (803) 728-4528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605001437 SC Practitioner - Chiropractic 1658738703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Family Chiropractic Northeast LLCGroup PAC ID 5496110538, 4 clinicians
Columbia Family Chiropractic Forest Acres LLCGroup PAC ID 4688031099, 5 clinicians

Practice addresses (Care Compare)

124 N Brickyard Rd
Columbia, SC 29223-6902
Phone (803) 788-8831

1709 Saint Julian PL
Columbia, SC 29204-2409
Phone (803) 728-4528

1709 St Julian Place
Columbia, SC 29204-2409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Family Chiropractic Forest Acres LLC Chiropractor CurrentSince Jul 27, 2023 Accepting new patients
Columbia Family Chiropractic Chiropractor CurrentSince May 6, 2023 Accepting new patients
Columbia Family Chiropractic Northeast LLC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients

Locations

224 Oneil Ct
Ste 21
Columbia, SC 29223
Phone (803) 788-8831

1709 Saint Julian Pl
Columbia, SC 29204
Phone (803) 728-4528

124 N Brickyard Rd
Columbia, SC 29223
Phone (803) 788-8831

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1013620335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ONEIL CT STE 21",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237649",
            "telephone_number": "803-788-8831",
            "fax_number": "803-788-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ONEIL CT STE 21",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237649",
            "telephone_number": "803-788-8831",
            "fax_number": "803-788-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Saint Julian Pl",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292042409",
            "country_code": "US",
            "telephone_number": "803-728-4528",
            "fax_number": "803-788-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.