Organization Active NPI

Chiro Care Chiropractic Center

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1043421522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2264 Issued in SC
Legal business name
CHIRO CARE CHIROPRACTIC CENTER
Practice address
505 18TH Ave N Ste B
Myrtle Beach, SC 29577-3535
Phone
(843) 626-9340
NPI assigned
May 25, 2007
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
Dr. Mark Calvin Fandel, D.C.NPI 1083764062
Title
President
Phone
(843) 626-9340

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 2264 SC Primary

Addresses

Primary practice location

505 18TH Ave N Ste B
Myrtle Beach, SC 29577-3535

Mailing address

505 18TH Ave N Ste B
Myrtle Beach, SC 29577-3535
Phone (843) 626-9340

National Provider Directory

National Provider Directory

Locations

505 18th Ave N
Ste B
Myrtle Beach, SC 29577
Phone (843) 626-9340

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043421522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 18TH AVE N STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773535",
            "telephone_number": "843-626-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 18TH AVE N STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773535",
            "telephone_number": "843-626-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO CARE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANDEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-626-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.