Island Experience, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ISLAND EXPERIENCE, INC.

Doing business as

Charleston Wellness Center

Practice address

930 Folly Rd Ste C
Charleston, SC 29412-3938

Phone

(843) 588-1230

Fax

(843) 588-5550

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Mandy Hambrook

Title

Biller

Phone

(864) 569-9621

Specialties & licenses 1

Addresses

Other names 1

• Charleston Wellness Center Doing business as

Practitioners 1

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

• Tara D Miller, D.C.

  • Chiropractor
  • Daniel Island, SC
  • NPI 1447201926
  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1124771159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294224333",
            "telephone_number": "843-588-1230",
            "fax_number": "843-588-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 FOLLY RD STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123938",
            "telephone_number": "843-588-1230",
            "fax_number": "843-588-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND EXPERIENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "HAMBROOK",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "864-569-9621"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charleston Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Isaacks, DPT
• Marc Isenstadt, ATC
• Robert J Ishak, M.D.
• Mahnoor Islam, M.D., M.B.B.S.
• S.M. Touhidul Islam, PHD
• Island Gentle Dental Care, LLC
• Island Gentle Dental, Inc.
• Island P.T.,LLC
• Island Pediatric Therapy Inc
• Islands Against Cancer, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.