Organization Active NPI

Huntley Chiropractic LLC

  • Chiropractor
  • Florence, SC
National Provider Identifier
1053777904
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4047 Issued in SC
Legal business name
HUNTLEY CHIROPRACTIC LLC
Practice address
1451 W Palmetto St
Florence, SC 29501-4173
Phone
(843) 799-2256
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Taylor Reagan Huntley, D.C.NPI 1215300983
Title
Owner
Phone
(843) 319-2518

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 4047 SC Primary

Addresses

Primary practice location

1451 W Palmetto St
Florence, SC 29501-4173

Mailing address

1451 W Palmetto St
Florence, SC 29501-4173
Phone (843) 799-2256

Other names 1

  • Huntley Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160329000804 SC Part B Supplier - Clinic/Group Practice 5597062091 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

1451 W Palmetto St
Florence, SC 29501
Phone (843) 319-2518

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": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1053777904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014173",
            "telephone_number": "843-799-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014173",
            "telephone_number": "843-799-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTLEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "HUNTLEY",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "REAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-319-2518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.