Organization Active NPI

Living Water Chiropractic

  • Chiropractor
  • Blythewood, SC
National Provider Identifier
1144090796
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIVING WATER CHIROPRACTIC
Practice address
420 McNulty St Ste G
Blythewood, SC 29016-8786
Phone
(803) 722-4122
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Dr. Frances M Moody, DCNPI 1073185427
Title
Doctor of Chiropractic
Phone
(856) 359-5892

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

420 McNulty St Ste G
Blythewood, SC 29016-8786

Mailing address

PO Box 473
Blythewood, SC 29016-0473
Phone (803) 722-4122

National Provider Directory

National Provider Directory

Locations

420 McNulty St
Ste G
Blythewood, SC 29016
Phone (803) 722-4122

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": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1144090796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290160473",
            "telephone_number": "803-722-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MCNULTY ST STE G",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168786",
            "telephone_number": "803-722-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "856-359-5892",
        "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 Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.