NPIMap

Organization Active NPI

Imagine Chiropractic PC

  • Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1073892873
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
20010688 Issued in SC
Legal business name
IMAGINE CHIROPRACTIC PC
Practice address
952 Houston Northcutt Blvd
Suite 201
Mount Pleasant, SC 29464-5659
Phone
(843) 416-8882
Fax
(843) 416-8929
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Dr. William Vicory, DC
Title
President
Phone
(843) 416-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 20010688 SC Primary

Addresses

Primary practice location

952 Houston Northcutt Blvd
Suite 201
Mount Pleasant, SC 29464-5659

Mailing address

952 Houston Northcutt Blvd
Suite 201
Mount Pleasant, SC 29464-5659
Phone (843) 416-8882

Other names 1

  • Pain Relief Center of Mount Pleasant Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1073892873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 HOUSTON NORTHCUTT BLVD",
            "address_2": "SUITE 201",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645659",
            "telephone_number": "843-416-8882",
            "fax_number": "843-416-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 HOUSTON NORTHCUTT BLVD",
            "address_2": "SUITE 201",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645659",
            "telephone_number": "843-416-8882",
            "fax_number": "843-416-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "VICORY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-416-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "20010688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Relief Center of Mount Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.