Individual provider Active NPI

Christian M Figueroa Hidalgo

  • Chiropractor
  • Tega Cay, SC
National Provider Identifier
1144020405
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5164 Issued in SC
Practice address
1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604
Phone
(803) 887-0323
Fax
(803) 548-2716
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5164 SC Primary

Addresses

Primary practice location

1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604

Mailing address

251 Redondo Dr
Wingate, NC 28174-8003
Phone (787) 597-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422003054 SC Practitioner - Chiropractic 5193249076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collective Chiropractic LLCGroup PAC ID 1052729712, 2 clinicians

Practice addresses (Care Compare)

1149 Stonecrest Blvd
Suite 106
Tega Cay, SC 29708-6604
Phone (704) 281-2849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5164SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Chiropractic LLC Chiropractor CurrentSince Mar 10, 2025 Accepting new patients

Locations

1149 Stonecrest Blvd
Ste 106
Tega Cay, SC 29708
Phone (704) 281-2849

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1144020405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 REDONDO DR",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281748003",
            "telephone_number": "787-597-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 STONECREST BLVD STE 106",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297086604",
            "telephone_number": "803-887-0323",
            "fax_number": "803-548-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA HIDALGO",
        "first_name": "CHRISTIAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tega Cay, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.