Organization Active NPI

South Carolina Chiropractic LLC

  • Chiropractor
  • Ridgeland, SC
National Provider Identifier
1154028082
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTH CAROLINA CHIROPRACTIC LLC
Practice address
51 Riverwalk Blvd Ste 3C
Ridgeland, SC 29936-3201
Phone
(206) 498-2343
NPI assigned
Feb 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Courtney Anne Bostjancic, DCNPI 1316129851
Title
Owner
Phone
(843) 252-0533

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

51 Riverwalk Blvd Ste 3C
Ridgeland, SC 29936-3201

Mailing address

51 Riverwalk Blvd Ste 3C
Ridgeland, SC 29936-3201
Phone (843) 252-0533

Other names 1

  • South Carolina Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230410001736 SC Part B Supplier - Clinic/Group Practice 2769857580 Receives reassigned benefits from 3 practitioners
Practice locations: Ridgeland, SC

National Provider Directory

National Provider Directory

Locations

61 Riverwalk Blvd
Ste J
Ridgeland, SC 29936
Phone (206) 498-2343

51 Riverwalk Blvd
Ste 3C
Ridgeland, SC 29936
Phone (843) 252-0533

Practitioners & affiliated clinicians

Practitioners 3

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": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1154028082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 RIVERWALK BLVD STE 3C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363201",
            "telephone_number": "843-252-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 RIVERWALK BLVD STE 3C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363201",
            "telephone_number": "206-498-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BOSTJANCIC",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-252-0533",
        "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": [
        {
            "organization_name": "South Carolina Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.