NPIMap

Organization Active NPI

Foundation Family Chiropractic of Mount Pleasant

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1134742141
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FOUNDATION FAMILY CHIROPRACTIC OF MOUNT PLEASANT
Practice address
1300 Hospital Dr Ste 270
Mount Pleasant, SC 29464-3244
Phone
(843) 851-2417
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Dr. Kyle Heimer, DCNPI 1013462837
Title
Owner
Phone
(815) 955-0406

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 Primary

Addresses

Primary practice location

1300 Hospital Dr Ste 270
Mount Pleasant, SC 29464-3244

Mailing address

455 Old Trolley Rd Ste a
Summerville, SC 29485-5669
Phone (843) 851-2417

National Provider Directory

National Provider Directory

Locations

1300 Hospital Dr
Ste 270
Mt Pleasant, SC 29464
Phone (843) 818-1123

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": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1134742141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OLD TROLLEY RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855669",
            "telephone_number": "843-851-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 270",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643244",
            "telephone_number": "843-851-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FAMILY CHIROPRACTIC OF MOUNT PLEASANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "HEIMER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-955-0406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 26, 2020; 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.