New Life Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC.3833 DC Issued in SC

Legal business name

NEW LIFE CHIROPRACTIC CENTER LLC

Practice address

4036 River Oaks Dr # B3
Myrtle Beach, SC 29579-6695

Phone

(843) 450-7632

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Alexander Rogers, D.C.NPI 1811337124

Title

Chiropractor

Phone

(843) 450-7632

Specialties & licenses 1

Addresses

Other names 1

• New Life Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Alexander Rogers, D.C.

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1811337124
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1144658808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036-B3 RIVER OAKS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796615",
            "telephone_number": "843-450-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 RIVER OAKS DR # B3",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796695",
            "telephone_number": "843-450-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "843-450-7632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC.3833 DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ricardo E Nelson, LMT
• Taylor Nelson
• Tracy Dawn Nelson, MD
• Chandler Marie Nesmith, OTD, OTR/L
• New Hope Family Services
• New Progressions of South Carolina, LLC
• Donna Lynne Newhouse, DONNA NEWHOUSE
• Christopher Newman I, RT(S)
• Winona Mae Newman, DMD
• Andrew CHI Nguyen, DO

• Chiropractor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.