Performance Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PERFORMANCE CHIROPRACTIC INC

Practice address

201 Oakbrook LN Ste 215
Summerville, SC 29485-7538

Phone

(843) 530-4651

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Joseph B Miller, DCNPI 1104953850

Title

President

Phone

(843) 556-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Performance Chiropractic, Inc

  • Chiropractor
  • Charleston, SC
  • NPI 1033327077

  O20201110000522

  Same enrollment

Tax ID family

Performance Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Performance Chiropractic, Inc

  • Chiropractor
  • Charleston, SC
  • NPI 1033327077
  NPD tax ID

Practitioners 1

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

• Joseph Bernard Miller, D.C., C.C.E.P.

  • Chiropractor
  • Charleston, SC
  • NPI 1104953850
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1104423078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30757",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170757",
            "telephone_number": "843-556-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAKBROOK LN STE 215",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857538",
            "telephone_number": "843-530-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-556-0101",
        "authorized_official_credential": "DC"
    },
    "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": "GCH690",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pentz Family Chiropractic Life Center
• T. Craig Pentz, D.C
• Brad Duncan Peper, DMD
• Diane Sophia Perez
• Perform Medical LLC
• Performance Medical Supply Inc.
• Claudette A Perkins
• Jennifer M Pero, D.C.
• Marilyn Marie Perreault
• Shevagene Perry

• Chiropractor in Summerville, SC
• Providers in Summerville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.