Katie Renee Ulam, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3832 Issued in SC

Practice address

5001 N Kings Hwy Ste 204
Myrtle Beach, SC 29577-2556

Phone

(843) 999-1805

Fax

(855) 277-9141

NPI assigned

Jun 25, 2013

Last updated

Dec 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Kru Chiropractic & Wellness

  dba Coastline Chiropractic

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1992211429
  Medicare reassignment NPD Authorized official
• Coastal Carolina Chiropractic

  dba Coastal Integrative Health

  • Chiropractor
  • Shallotte, NC
  • NPI 1922178722
  Medicare reassignment

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1063852994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 N KINGS HWY STE 204",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772556",
            "telephone_number": "843-999-1805",
            "fax_number": "855-277-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N KINGS HWY STE 204",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772556",
            "telephone_number": "843-999-1805",
            "fax_number": "855-277-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULAM",
        "first_name": "KATIE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4432",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• United Chiropractic

• Chiropractor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.