Organization Active NPI

Dowdy Rudolph Chiropractic LLC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1053510198
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3256 Issued in SC
Legal business name
DOWDY RUDOLPH CHIROPRACTIC LLC
Practice address
1408 Elmwood Ave
Columbia, SC 29201-2110
Phone
(803) 376-6294
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Gerald Desmond Rudolph, D.C,
Title
President
Phone
(803) 376-6293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3256 SC Primary

Addresses

Primary practice location

1408 Elmwood Ave
Columbia, SC 29201-2110

Mailing address

1408 Elmwood Ave
Columbia, SC 29201-2110
Phone (803) 376-6294

National Provider Directory

National Provider Directory

Locations

1408 Elmwood Ave
Columbia, SC 29201
Phone (803) 252-3873

1444 Barnwell St
Columbia, SC 29201
Phone (803) 256-6274

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1053510198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 ELMWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012110",
            "telephone_number": "803-376-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 ELMWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012110",
            "telephone_number": "803-376-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWDY RUDOLPH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-376-6293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.