Organization Active NPI

McCann Chiropractic Center, PC

  • Chiropractor
  • North Myrtle Beach, SC
National Provider Identifier
1104869817
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2844 Issued in SC
Legal business name
MCCANN CHIROPRACTIC CENTER, PC
Practice address
3332 Highway 17 S
North Myrtle Beach, SC 29582-4853
Phone
(843) 280-7533
Fax
(843) 280-2089
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Lise McCann FalconeNPI 1134175284
Title
Owner
Phone
(843) 280-7533

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 2844 SC Primary

Addresses

Primary practice location

3332 Highway 17 S
North Myrtle Beach, SC 29582-4853

Mailing address

3332 Highway 17 S
North Myrtle Beach, SC 29582-4853
Phone (843) 280-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060630000309 SC Part B Supplier - Clinic/Group Practice 7911919238 Receives reassigned benefits from 1 practitioner
Practice locations: North Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

3332 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 280-7533

205 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 655-3528

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1104869817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 HIGHWAY 17 S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824853",
            "telephone_number": "843-280-7533",
            "fax_number": "843-280-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 HIGHWAY 17 S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824853",
            "telephone_number": "843-280-7533",
            "fax_number": "843-280-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCANN CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "FALCONE",
        "authorized_official_first_name": "LISE",
        "authorized_official_middle_name": "MCCANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-280-7533"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.