Individual provider Active NPI

Theodore Leon Harpham III, D.C.

  • Chiropractor
  • Indian Land, SC
National Provider Identifier
1114357894
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO10200 Issued in GA
Practice address
8451 Charlotte Hwy
Indian Land, SC 29707-7587
Phone
(803) 548-8100
NPI assigned
Nov 18, 2013
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO10200 GA Primary
Chiropractor 111N00000X 3873 SC

Addresses

Primary practice location

8451 Charlotte Hwy
Indian Land, SC 29707-7587

Mailing address

1 Mallett Way
Ste 102
Bluffton, SC 29910-6066
Phone (859) 912-5509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191204000782 SC Practitioner - Chiropractic 7012148265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO10200GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zellweger Family Chiropractic PLLC Chiropractor CurrentSince Sep 24, 2019 Accepting new patients
Zellweger Family Chiropractic Chiropractor PastSince Jun 1, 2019 Accepting new patients

Locations

1 Mallett Way
Ste 102
Bluffton, SC 29910
Phone (843) 706-2378

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1114357894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MALLETT WAY",
            "address_2": "STE 102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106066",
            "telephone_number": "859-912-5509",
            "fax_number": "843-706-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 CHARLOTTE HWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077587",
            "telephone_number": "803-548-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPHAM",
        "first_name": "THEODORE",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10200",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.