Dale L.J. Nodrick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2235 Issued in SC

Practice address

200 S 3Rd Ave
Dillon, SC 29536-3318

Phone

(843) 487-5123

Fax

(843) 487-5121

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roff - Nodrick Chiropractic

  • Chiropractor
  • Dillon, SC
  • NPI 1619199197
  NPD (past)
• Roff and Sherman Chiropractic

  • Chiropractor
  • Dillon, SC
  • NPI 1164692372
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1063570919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 3RD AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363318",
            "telephone_number": "843-487-5123",
            "fax_number": "843-487-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 3RD AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363318",
            "telephone_number": "843-487-5123",
            "fax_number": "843-487-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODRICK",
        "first_name": "DALE",
        "middle_name": "L.J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH259",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2235",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• National Home Health Care Sercices, LLC
• New Vision Behavioral Health Wellness Center
• New Vision Home Care LLC
• No Worries Home Care LLC
• Nodrick Chiropractic and Rehabilitation Center LLC
• Deborah M Nodrick, DC
• Nodricks LLC
• Nurses 4 Jason
• Alto Bernat Odin Jr., D.O.
• Omni Physical Therapy Inc

• Chiropractor in Dillon, SC
• Providers in Dillon, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.