Camden Clinic of Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3589 Issued in SC

Legal business name

CAMDEN CLINIC OF CHIROPRACTIC, LLC

Practice address

408 E Dekalb St
Suite D
Camden, SC 29020-4429

Phone

(803) 272-0990

Fax

(803) 272-0991

NPI assigned

Jan 31, 2011

Last updated

Jan 31, 2011By 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. James D Smith, D.C.NPI 1801903588

Title

Sole Member

Phone

(803) 272-0990

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.

• James D Smith, D.C.

  • Chiropractor
  • Camden, SC
  • NPI 1801903588
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1124324629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E DEKALB ST",
            "address_2": "SUITE D",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204429",
            "telephone_number": "803-272-0990",
            "fax_number": "803-272-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E DEKALB ST",
            "address_2": "SUITE D",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204429",
            "telephone_number": "803-272-0990",
            "fax_number": "803-272-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN CLINIC OF CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "803-272-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Butler, LPCA
• Ronni Byrd-Bryant
• Shantise Byrd
• Camden Associated Physicians, P.a.
• Camden Bone & Joint LLC
• Camden Family Care LLC
• Camden Foot Clinic
• Camden General and Vascular Surgery
• Camden Heart Care, LLC
• Camden Open MRI

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.