NPIMap

Organization Active NPI

Dr. Black's Family Chiropractic Center

  • Chiropractor
  • Rock Hill, SC
National Provider Identifier
1144286568
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2607 Issued in SC
Legal business name
DR. BLACK'S FAMILY CHIROPRACTIC CENTER
Practice address
430 S Herlong Ave
Suite 101
Rock Hill, SC 29732-1094
Phone
(803) 328-3444
Fax
(803) 328-6811
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Christopher Michael Black, D.C.NPI 1598753626
Title
Doctor of Chiropractic
Phone
(803) 328-3444

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 2607 SC Primary

Addresses

Primary practice location

430 S Herlong Ave
Suite 101
Rock Hill, SC 29732-1094

Mailing address

430 S Herlong Ave
Suite 101
Rock Hill, SC 29732-1094
Phone (803) 328-3444

Other identifiers 1

IdentifierTypeStateIssuer
CH2607MedicaidSC

National Provider Directory

National Provider Directory

Locations

430 Herlong Ave S
Ste 101
Rock Hill, SC 29732
Phone (803) 328-3444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1144286568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S HERLONG AVE",
            "address_2": "SUITE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321094",
            "telephone_number": "803-328-3444",
            "fax_number": "803-328-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S HERLONG AVE",
            "address_2": "SUITE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321094",
            "telephone_number": "803-328-3444",
            "fax_number": "803-328-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BLACK'S FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "803-328-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2607",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.