NPIMap

Organization Active NPI

Sea One Family Chiropractic, P.a.

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1154462612
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3152 Issued in SC
Legal business name
SEA ONE FAMILY CHIROPRACTIC, P.A.
Practice address
1211 44TH Ave N
Suite 200
Myrtle Beach, SC 29577-5447
Phone
(843) 839-5262
Fax
(843) 839-5264
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Dr. Alan Herndon LevyNPI 1093881823
Title
Business Owner
Phone
(843) 839-5262

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 3152 SC Primary

Addresses

Primary practice location

1211 44TH Ave N
Suite 200
Myrtle Beach, SC 29577-5447

Mailing address

1211 44TH Ave N
Suite 200
Myrtle Beach, SC 29577-5447
Phone (843) 839-5262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070426000252 SC Part B Supplier - Clinic/Group Practice 7113023854 Receives reassigned benefits from 2 practitioners
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

600 Front St
Georgetown, SC 29440
Phone (843) 213-3992

1211 44th Ave N
Ste 200
Myrtle Beach, SC 29577
Phone (843) 839-5262

Practitioners & affiliated clinicians

Practitioners 6

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1154462612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 44TH AVE N",
            "address_2": "SUITE 200",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775447",
            "telephone_number": "843-839-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 44TH AVE N",
            "address_2": "SUITE 200",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775447",
            "telephone_number": "843-839-5262",
            "fax_number": "843-839-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ONE FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "HERNDON",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "843-839-5262",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

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