Organization Active NPI

Paul W Friedman DC LLC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1104021229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2136 Issued in SC
Legal business name
PAUL W FRIEDMAN DC LLC
Practice address
1124 Sam Rittenberg Blvd
Suite #4
Charleston, SC 29407-3362
Phone
(843) 225-2588
Fax
(843) 225-2599
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul W Friedman, DCNPI 1730138165
Title
Doctor Owner
Phone
(843) 225-2588

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2136 SC Primary

Addresses

Primary practice location

1124 Sam Rittenberg Blvd
Suite #4
Charleston, SC 29407-3362

Mailing address

1124 Sam Rittenberg Blvd
Suite #4
Charleston, SC 29407-3362
Phone (843) 225-2588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104021229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 SAM RITTENBERG BLVD",
            "address_2": "SUITE #4",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073362",
            "telephone_number": "843-225-2588",
            "fax_number": "843-225-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 SAM RITTENBERG BLVD",
            "address_2": "SUITE #4",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073362",
            "telephone_number": "843-225-2588",
            "fax_number": "843-225-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W FRIEDMAN DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "843-225-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.