Organization Active NPI

Ideal Lifestyle Practice LLC

  • Chiropractor
  • Mt Pleasant, SC
National Provider Identifier
1063832772
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3867 Issued in SC
Legal business name
IDEAL LIFESTYLE PRACTICE LLC
Practice address
757 Long Point Rd
Mt Pleasant, SC 29464-8328
Phone
(843) 424-5847
NPI assigned
Apr 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Seth Chad Strauss, DC, BS
Title
Owner
Phone
(843) 424-5847

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3867 SC Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3868 SC

Addresses

Primary practice location

757 Long Point Rd
Mt Pleasant, SC 29464-8328

Mailing address

757 Long Point Rd
Mt Pleasant, SC 29464-8328
Phone (843) 424-5847

Other identifiers 1

IdentifierTypeStateIssuer
3867OtherSCSOUTH CAROLINA STATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

757 Long Point Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 352-9966

757 Long Point Rd
Mt Pleasant, SC 29464
Phone (843) 424-5847

Practitioners & affiliated clinicians

Practitioners 2

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": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1063832772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 LONG POINT RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648328",
            "telephone_number": "843-424-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 LONG POINT RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648328",
            "telephone_number": "843-424-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL LIFESTYLE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-424-5847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, BS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3867",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA STATE LICENSE NUMBER",
            "identifier": "3867",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.