Palmetto State Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3329 Issued in SC

Legal business name

PALMETTO STATE CHIROPRACTIC, LLC

Practice address

3427 Highway 153
Piedmont, SC 29673-7725

Phone

(864) 220-5424

Fax

(864) 220-5423

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Russell Chadwick Trotter, D.C.

Title

Owner / Organizer

Phone

(864) 898-1318

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Wright

  • Adult Health Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1336454776

  Chiropractor

  NPD

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1104152990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737725",
            "telephone_number": "864-220-5424",
            "fax_number": "864-220-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737725",
            "telephone_number": "864-220-5424",
            "fax_number": "864-220-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO STATE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "CHADWICK",
        "authorized_official_title_or_position": "OWNER / ORGANIZER",
        "authorized_official_telephone_number": "864-898-1318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenniben Patel

• All providers in Piedmont, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.