Organization Active NPI

Bluffton Family Chiropractic P a

  • Chiropractor
  • Bluffton, SC
National Provider Identifier
1124139274
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2630 Issued in SC
Legal business name
BLUFFTON FAMILY CHIROPRACTIC P A
Practice address
80 Baylor Dr Ste 114
Bluffton, SC 29910-8905
Phone
(843) 706-3472
Fax
(843) 706-3473
NPI assigned
Aug 31, 2006
Last updated
Nov 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Jeffrey L. Aita, DCNPI 1679520506
Title
Owner
Phone
(843) 706-3472

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
Chiropractor 111N00000X 2630 SC Primary

Addresses

Primary practice location

80 Baylor Dr Ste 114
Bluffton, SC 29910-8905

Mailing address

80 Baylor Dr Ste 114
Bluffton, SC 29910-8905
Phone (843) 706-3472

Other identifiers 3

IdentifierTypeStateIssuer
NPI 1225081086OtherSCDR. KATHLEEN HOUPT NPI
NPI 1679520506OtherSCDR. JEFFREY L. AITA NPI
GCH413MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000920 SC Part B Supplier - Clinic/Group Practice 0840104345 Receives reassigned benefits from 7 practitioners
Practice locations: Bluffton, SC

National Provider Directory

National Provider Directory

Locations

162 Bluffton Rd
Ste 101
Bluffton, SC 29910
Phone (843) 321-8016

80 Baylor Dr
Ste 108
Bluffton, SC 29910
Phone (843) 706-3472

80 Baylor Dr
Ste 114
Bluffton, SC 29910
Phone (843) 706-3472

Practitioners & affiliated clinicians

Practitioners 8

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1124139274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BAYLOR DR STE 114",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108905",
            "telephone_number": "843-706-3472",
            "fax_number": "843-706-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BAYLOR DR STE 114",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108905",
            "telephone_number": "843-706-3472",
            "fax_number": "843-706-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFTON FAMILY CHIROPRACTIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "AITA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-706-3472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. KATHLEEN HOUPT NPI",
            "identifier": "NPI 1225081086",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JEFFREY L. AITA NPI",
            "identifier": "NPI 1679520506",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH413",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.