NPIMap

Organization Active NPI

Spine Pain Center Summerville LLC

Doing business as Spine Pain Center Summerville

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1053918466
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE PAIN CENTER SUMMERVILLE LLC
Doing business as
Spine Pain Center Summerville
Practice address
404 N Pine St
Summerville, SC 29483-6557
Phone
(803) 260-7990
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Joseph G Carew, DCNPI 1659329522
Title
Owner
Phone
(803) 260-7990

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

404 N Pine St
Summerville, SC 29483-6557

Mailing address

248 Cooper River Dr
Mount Pleasant, SC 29464-1814

Other names 1

  • Spine Pain Center Summerville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215001195 SC Part B Supplier - Clinic/Group Practice 7517379639 Receives reassigned benefits from 4 practitioners
Practice locations: Summerville, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1053918466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 COOPER RIVER DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N PINE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836557",
            "telephone_number": "803-260-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE PAIN CENTER SUMMERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "CAREW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-260-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Pain Center Summerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.