New Life Disc Spine & Joint

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NEW LIFE DISC SPINE & JOINT

Doing business as

NEW LIFE DISC, SPINE & JOINT LLC

Practice address

10384 Tintinhull Dr
Fort Mill, SC 29707-1574

Phone

(704) 502-7897

Fax

(704) 327-0793

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Craig M. Leis, DC

Title

Owner (President)

Phone

(704) 502-7897

Specialties & licenses 1

Addresses

Other names 1

• NEW LIFE DISC, SPINE & JOINT LLC Doing business as

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1043975451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10384 TINTINHULL DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297071574",
            "telephone_number": "704-502-7897",
            "fax_number": "704-327-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10384 TINTINHULL DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297071574",
            "telephone_number": "704-502-7897",
            "fax_number": "704-327-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE DISC SPINE & JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "LEIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER (PRESIDENT)",
        "authorized_official_telephone_number": "704-502-7897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW LIFE DISC, SPINE & JOINT LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW LIFE DISC, SPINE & JOINT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Fort Mill, SC
• Providers in Fort Mill, 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 16, 2022; 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.