Organization Active NPI

Klucharich Chiropractic Healing

  • Chiropractor
  • Florence, SC
National Provider Identifier
1093898165
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KLUCHARICH CHIROPRACTIC HEALING
Practice address
423 S Cashua Dr # A1
Florence, SC 29501-5408
Phone
(843) 664-0900
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Donna Klucharich
Title
Owner
Phone
(843) 664-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

423 S Cashua Dr # A1
Florence, SC 29501-5408

Mailing address

423 S Cashua Dr # A1
Florence, SC 29501-5408

Other identifiers 1

IdentifierTypeStateIssuer
GCH134MedicaidSC

National Provider Directory

National Provider Directory

Locations

423 S Cashua Dr
#A1
Florence, SC 29501
Phone (843) 664-0900

423 S Cashua Dr
Ste A
Florence, SC 29501
Phone (843) 664-0900

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1093898165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S CASHUA DR # A1",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S CASHUA DR # A1",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015408",
            "telephone_number": "843-664-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLUCHARICH CHIROPRACTIC HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "KLUCHARICH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-664-0900"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH134",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.