Organization Active NPI

Real Health, LLC

  • Chiropractor
  • Goose Creek, SC
National Provider Identifier
1124206966
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3209 Issued in SC
Legal business name
REAL HEALTH, LLC
Practice address
103C Spring Hall Dr
Goose Creek, SC 29445-5336
Phone
(843) 302-0920
Fax
(843) 302-0925
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Matthew Hunter, D.C.
Title
Clinic Director
Phone
(843) 302-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3209 SC Primary

Addresses

Primary practice location

103C Spring Hall Dr
Goose Creek, SC 29445-5336

Mailing address

103C Spring Hall Dr
Goose Creek, SC 29445-5336
Phone (843) 302-0920

Other identifiers 1

IdentifierTypeStateIssuer
8958OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

103C Springhall Dr
Goose Creek, SC 29445
Phone (843) 302-0920

103 Springhall Dr
#C
Goose Creek, SC 29445
Phone (843) 302-0920

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1124206966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103C SPRING HALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455336",
            "telephone_number": "843-302-0920",
            "fax_number": "843-302-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103C SPRING HALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455336",
            "telephone_number": "843-302-0920",
            "fax_number": "843-302-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "843-302-0920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.