NPIMap

Organization Active NPI

Yaden Chiropractic Inc.

  • Chiropractor
  • Moncks Corner, SC
National Provider Identifier
1023294055
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SC1432 Issued in SC
Legal business name
YADEN CHIROPRACTIC INC.
Practice address
425 Barony St
Moncks Corner, SC 29461-3128
Phone
(843) 899-7933
Fax
(843) 899-5796
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Jerald G Yaden, DCNPI 1033171038
Title
President
Phone
(843) 899-7933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SC1432 SC Primary

Addresses

Primary practice location

425 Barony St
Moncks Corner, SC 29461-3128

Mailing address

425 Barony St
Moncks Corner, SC 29461-3128
Phone (843) 899-7933

Other identifiers 1

IdentifierTypeStateIssuer
CH1432MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1023294055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BARONY ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613128",
            "telephone_number": "843-899-7933",
            "fax_number": "843-899-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BARONY ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613128",
            "telephone_number": "843-899-7933",
            "fax_number": "843-899-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADEN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "YADEN",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-899-7933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC1432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1432",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.