Organization Active NPI

Precision Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Johns Island, SC
National Provider Identifier
1114365202
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3681 Issued in SC
Legal business name
PRECISION CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
3069 Maybank Hwy
Johns Island, SC 29455-4873
Phone
(843) 628-5353
Fax
(843) 557-1446
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Dr. Chad J Doles, D.C.NPI 1477826048
Title
Sole Owner
Phone
(843) 628-5353

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 3681 SC Primary

Addresses

Primary practice location

3069 Maybank Hwy
Johns Island, SC 29455-4873

Mailing address

3069 Maybank Hwy
Johns Island, SC 29455-4873
Phone (843) 628-5353

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1114365202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554873",
            "telephone_number": "843-628-5353",
            "fax_number": "843-557-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554873",
            "telephone_number": "843-628-5353",
            "fax_number": "843-557-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "DOLES",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "843-628-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.