Fagan Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FAGAN CHIROPRACTIC LLC

Practice address

900 E Rutherford St
Landrum, SC 29356-1725

Phone

(864) 316-4611

Fax

(864) 551-2945

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lealand K Fagan, DCNPI 1861440091

Title

Owner

Phone

(864) 457-2045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Lealand K Fagan

  • Chiropractor
  • Landrum, SC
  • NPI 1861440091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1114586492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561725",
            "telephone_number": "864-316-4611",
            "fax_number": "864-551-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561725",
            "telephone_number": "864-316-4611",
            "fax_number": "864-551-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAGAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "LEALAND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-457-2045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Martin Cole, MD
• Nicolas Seth Dawson, MD
• Leslie Desimone, RPH
• Dialysis Clinic Inc.
• Vivian Isabel Dunlop, PT
• Lealand K Fagan
• Katharine Fincher, PT
• Karen Frederick, PT, DPT
• Jenifer Leigh Gault, LMFT
• Chelsea Danielle Gentry, BCBA

• Chiropractor in Landrum, SC
• Providers in Landrum, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.