Individual provider Active NPI

Thomas William Mercante, DC

  • Nutrition Chiropractor
  • Summerville, SC
National Provider Identifier
1114092343
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3279 Issued in SC
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

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20080305000743 SC Practitioner - Chiropractic 2466406368 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
3279SCMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align Services Nexton LLC CurrentSince Aug 15, 2020 Accepting new patients
Alignlife of Summerville LLC Nutrition CurrentSince Dec 11, 2007 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.

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.

Verify at the official NPI Registry.