Locke Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4062 Issued in SC

Legal business name

LOCKE CHIROPRACTIC, LLC

Doing business as

Regenerate Chiropractic

Practice address

11920 Highway 707 Ste A4
Murrells Inlet, SC 29576-9609

Phone

(864) 398-0182

NPI assigned

Jun 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Ryan Locke, DCNPI 1649646407

Title

Owner

Phone

(864) 398-0182

Specialties & licenses 1

Addresses

Other names 1

• Regenerate 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.

• Matthew Ryan Locke, D.C.

  • Chiropractor
  • Shelby, NC
  • NPI 1649646407

  SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144758244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 HIGHWAY 707 STE A4",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769609",
            "telephone_number": "864-398-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 HIGHWAY 707 STE A4",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769609",
            "telephone_number": "864-398-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-398-0182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerate Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse T Lewis, M.D.
• Kans Lewis II, PHARMD
• Melanie Anne Lewis
• Diego Alejandro Lim, MD
• Joshua Onze Lock, PHARMD
• Ryan Thomas Logan, PA-C
• Nia Marie Lombardo, M.S., CCC-SLP
• Long Bay Diagnostic Imaging Murrells Inlet, LLC
• Low Country Physical Therapy
• Lowcountry Family Dentistry

• Chiropractor in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.