100 Chiro Spivey LLC

Key facts

NPI

1073293304

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

Legal business name

100 CHIRO SPIVEY LLC

Practice address

2118 Highway 41 Ste 103
Mount Pleasant, SC 29466-6206

Phone

(910) 641-1157

NPI assigned

Jul 21, 2023

Organization subpart

No

Authorized official

Name

Dr. Zachary Spivey, DC NPI 1154001774

Title

Doctor/Owner

Phone

(910) 641-1157

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary Spivey, DC Chiropractor · Mount Pleasant, SC · NPI 1154001774
  Medicare reassignment NPD Authorized official CHIROPRACTOR · SC
• Elijah Voyles, DC Chiropractor · Salem, IN · NPI 1851275507
  NPD CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SC

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2023.

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1073293304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 HIGHWAY 41 STE 103",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666206",
            "telephone_number": "910-641-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 HIGHWAY 41 STE 103",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666206",
            "telephone_number": "910-641-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO SPIVEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "910-641-1157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

• 1041 Dodds Mt. Pleasant Professional, PLLC
• 3 D Optometry PC
• 360 Medical
• 3Di Diagnostic Oral Facial Imaging
• 4TH Trimester, LLC

All providers in Mount Pleasant, SC · Chiropractor in South Carolina