NPIMap

Organization Active NPI

Real Chiropractic LLC

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1104075183
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2119 Issued in SC
Legal business name
REAL CHIROPRACTIC LLC
Practice address
4999 Carolina Forest Blvd
Unit 12
Myrtle Beach, SC 29579-3587
Phone
(843) 903-5772
Fax
(843) 903-5774
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Zachary G Causey, D.C.
Title
President
Phone
(843) 903-5772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2119 SC Primary

Addresses

Primary practice location

4999 Carolina Forest Blvd
Unit 12
Myrtle Beach, SC 29579-3587

Mailing address

PO Box 30847
Myrtle Beach, SC 29588-0015
Phone (843) 903-5772

Other identifiers 1

IdentifierTypeStateIssuer
10995635OtherSCCAQH

Other names 1

  • dba Causey family chiropractic and wellness Doing business as

National Provider Directory

National Provider Directory

Locations

4999 Carolina Forest Blvd
Ste 12
Myrtle Beach, SC 29579
Phone (843) 903-5772

Practitioners & affiliated clinicians

Practitioners 3

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": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1104075183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30847",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295880015",
            "telephone_number": "843-903-5772",
            "fax_number": "843-903-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 CAROLINA FOREST BLVD",
            "address_2": "UNIT 12",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793587",
            "telephone_number": "843-903-5772",
            "fax_number": "843-903-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "CAUSEY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-903-5772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10995635",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Causey family chiropractic and wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 29, 2012; 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.