Organization Active NPI

Core Health Services LLC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1134328461
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SC268 Issued in SC
Legal business name
CORE HEALTH SERVICES LLC
Practice address
4122 W Beltline Blvd
Columbia, SC 29204-1509
Phone
(803) 254-6730
Fax
(803) 254-6323
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Troy B Martin, DC
Title
Owner/Physician
Phone
(803) 254-6730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SC268 SC Primary

Addresses

Primary practice location

4122 W Beltline Blvd
Columbia, SC 29204-1509

Mailing address

4122 W Beltline Blvd
Columbia, SC 29204-1509
Phone (803) 254-6730

Other identifiers 1

IdentifierTypeStateIssuer
CH2608MedicaidSC

Other names 1

  • Bracey Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1134328461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 W BELTLINE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041509",
            "telephone_number": "803-254-6730",
            "fax_number": "803-254-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 W BELTLINE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041509",
            "telephone_number": "803-254-6730",
            "fax_number": "803-254-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "803-254-6730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2608",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bracey Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.