NPIMap

Organization Active NPI

Michael G Regan

  • Chiropractor
  • Goose Creek, SC
National Provider Identifier
1043411465
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1171 Issued in SC
Legal business name
MICHAEL G REGAN
Practice address
105 Central Ave
Suite 300 B
Goose Creek, SC 29445-3084
Phone
(843) 569-1212
Fax
(843) 569-1909
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Dr. Michael Gerard Regan, DCNPI 1184758120
Title
Owner
Phone
(843) 569-1212

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 1171 SC Primary

Addresses

Primary practice location

105 Central Ave
Suite 300 B
Goose Creek, SC 29445-3084

Mailing address

105 Central Ave
Suite300 B
Goose Creek, SC 29445-3084
Phone (843) 569-1212

Other identifiers 1

IdentifierTypeStateIssuer
CH1171MedicaidSC

Other names 1

  • Michael Regan Doing business as

National Provider Directory

National Provider Directory

Locations

105 Central Ave
Ste 300B
Goose Creek, SC 29445
Phone (843) 569-1212

Practitioners & affiliated clinicians

Practitioners 1

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1043411465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE",
            "address_2": "SUITE300 B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453084",
            "telephone_number": "843-569-1212",
            "fax_number": "843-569-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE",
            "address_2": "SUITE 300 B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453084",
            "telephone_number": "843-569-1212",
            "fax_number": "843-569-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G REGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-569-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1171",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Regan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.