Organization Active NPI

Fraum Chiropractic Life Center, P.a.

  • Chiropractor
  • Hilton Head Island, SC
National Provider Identifier
1013984954
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FRAUM CHIROPRACTIC LIFE CENTER, P.A.
Practice address
1403 Main St
Hilton Head Island, SC 29926-1654
Phone
(843) 681-7777
Fax
(843) 681-7775
NPI assigned
Feb 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sharon Ann Fraum
Title
Viice President
Phone
(843) 681-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1403 Main St
Hilton Head Island, SC 29926-1654

Mailing address

PO Box 23768
Hilton Head Island, SC 29925-3768
Phone (843) 681-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001131 SC Part B Supplier - Clinic/Group Practice 0547229445 Receives reassigned benefits from 2 practitioners
Practice locations: Hilton Head Island, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013984954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23768",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299253768",
            "telephone_number": "843-681-7777",
            "fax_number": "843-681-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MAIN ST",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261654",
            "telephone_number": "843-681-7777",
            "fax_number": "843-681-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAUM CHIROPRACTIC LIFE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAUM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VIICE PRESIDENT",
        "authorized_official_telephone_number": "843-681-7777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.