Active NPI
Thomas William Mercante, DC
- Nutrition Chiropractor
- Summerville, SC
National Provider Identifier
1114092343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 3279
- Practice address
- 1115 Central Ave Unit C
Summerville, SC 29483-3072 - Phone
- (843) 771-3487
- Fax
- (843) 832-4978
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 3279 | SC | Primary |
Addresses
Primary practice location
1115 Central Ave Unit C
Summerville, SC 29483-3072
Mailing address
1314 Hempstead TPK
Central Ave
Elmont, NY 11003
Phone (516) 616-6669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1115 Central Ave
Summerville, SC 29483-3072
Phone (843) 376-5858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3279 | SC | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Services Nexton LLC | Current | Accepting new patients | |
| Alignlife of Summerville LLC | Nutrition | Current | Accepting new patients |
| Spinal Chirporactic Diagnostics | Past | Accepting new patients |
Locations
401 Front St
Ste A
Summerville, SC 29486
Phone (843) 900-6336
1115 Central Ave
Unit C
Summerville, SC 29483
Phone (843) 376-5858
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Summerville, SC
- NPI 1538789805
-
- Chiropractor
- Elmont, NY
- NPI 1003971201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1114092343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 HEMPSTEAD TPK",
"address_2": "CENTRAL AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "11003",
"telephone_number": "516-616-6669",
"fax_number": "516-616-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 CENTRAL AVE UNIT C",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294833072",
"telephone_number": "843-771-3487",
"fax_number": "843-832-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCANTE",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "SC",
"license": "3279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.