Organization Active NPI

McKool Lifetime Chiropractic, LLC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1104045053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2713 Issued in SC
Legal business name
MCKOOL LIFETIME CHIROPRACTIC, LLC
Practice address
1954 Ashley River Rd Ste D
Charleston, SC 29407-4904
Phone
(843) 571-6440
Fax
(843) 571-6448
NPI assigned
Apr 25, 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. Jacqueline Ann McKool, D.C.
Title
Owner
Phone
(843) 571-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2713 SC Primary

Addresses

Primary practice location

1954 Ashley River Rd Ste D
Charleston, SC 29407-4904

Mailing address

1954 Ashley River Rd Ste D
Charleston, SC 29407-4904
Phone (843) 571-6440

National Provider Directory

National Provider Directory

Locations

1954 Ashley River Rd
Ste D
Charleston, SC 29407
Phone (843) 571-6440

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104045053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 ASHLEY RIVER RD STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074904",
            "telephone_number": "843-571-6440",
            "fax_number": "843-571-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 ASHLEY RIVER RD STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074904",
            "telephone_number": "843-571-6440",
            "fax_number": "843-571-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKOOL LIFETIME CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKOOL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-571-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2713",
            "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.