Active NPI
Alan Herndon Levy, D.C.
- Chiropractor
- Myrtle Beach, SC
National Provider Identifier
1093881823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3152
- Practice address
- 1211 44TH Ave N
Suite 200
Myrtle Beach, SC 29577-5447 - Phone
- (843) 839-5262
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3152 | SC | Primary |
Addresses
Primary practice location
1211 44TH Ave N
Suite 200
Myrtle Beach, SC 29577-5447
Mailing address
1211 44TH Ave N
Suite 200
Myrtle Beach, SC 29577-5447
Phone (843) 839-5262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH3152 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 44TH Ave N
Suite 200
Myrtle Beach, SC 29577-5447
Phone (843) 839-5262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3152 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea One Family Chiropractic, P.a. | Chiropractor | Current | Accepting new patients |
Locations
1211 44th Ave N
Ste 200
Myrtle Beach, SC 29577
Phone (843) 839-5262
Organizations & group practices 1
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.
-
- Chiropractor
- Myrtle Beach, SC
- NPI 1154462612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1093881823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 44TH AVE N",
"address_2": "SUITE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775447",
"telephone_number": "843-839-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 44TH AVE N",
"address_2": "SUITE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775447",
"telephone_number": "843-839-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "ALAN",
"middle_name": "HERNDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH3152",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.