Performance Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2120 Issued in SC

Legal business name

PERFORMANCE CHIROPRACTIC, INC

Practice address

1903 Savannah Hwy # a
Charleston, SC 29407-6250

Phone

(843) 556-0101

Fax

(843) 556-8186

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Bernard Miller, D.C., C.C.E.P.NPI 1104953850

Title

President

Phone

(843) 556-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Performance Chiropractic Inc

  • Chiropractor
  • Summerville, SC
  • NPI 1104423078

  O20201110000522

  Same enrollment

Tax ID family

Performance Chiropractic Inc2 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.

• Performance Chiropractic Inc

  • Chiropractor
  • Summerville, SC
  • NPI 1104423078
  NPD tax ID

Locations

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.

• Joseph Bernard Miller, D.C., C.C.E.P.

  • Chiropractor
  • Charleston, SC
  • NPI 1104953850
  Medicare reassignment NPD Authorized official
• Evaline Etta Delson, D.C., C.C.E.P.

  • Chiropractor
  • Charleston, SC
  • NPI 1801923461
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1033327077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30757",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170757",
            "telephone_number": "843-556-0101",
            "fax_number": "843-556-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SAVANNAH HWY # A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076250",
            "telephone_number": "843-556-0101",
            "fax_number": "843-556-8186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Oakbrook Ln Ste 255",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294857538",
            "country_code": "US",
            "telephone_number": "843-851-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-556-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.E.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH689",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andy Perez, PHARMD
• Anita Tambay Perez
• Crystal Perez
• Devon Collins Perez, DDS
• Penny Leigh Perez
• Thomas C Perham, DPT
• Lauren Perino
• Periodontal Associates LLC
• Naveen Perisetla, MD
• Elizabeth Perkins, MD

• Chiropractor in Charleston, SC
• Providers in Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.