Organization Active NPI

Sea Isle Spine Center, Inc

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1124274618
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3296 Issued in SC
Legal business name
SEA ISLE SPINE CENTER, INC
Practice address
1137 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3101
Phone
(843) 881-2010
Fax
(843) 881-2009
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Dr. William J CromerNPI 1689881369
Title
Owner/President
Phone
(843) 881-2010

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 3296 SC Primary

Addresses

Primary practice location

1137 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3101

Mailing address

1137 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3101
Phone (843) 881-2010

Other identifiers 1

IdentifierTypeStateIssuer
1689881369OtherSCNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

1137 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 881-2010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1124274618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643101",
            "telephone_number": "843-881-2010",
            "fax_number": "843-881-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643101",
            "telephone_number": "843-881-2010",
            "fax_number": "843-881-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ISLE SPINE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "CROMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-881-2010",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1689881369",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.