Organization Active NPI

Carolina Chiropractic & Holistic Center

  • Chiropractor
  • Bluffton, SC
National Provider Identifier
1154530848
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2577 Issued in SC
Legal business name
CAROLINA CHIROPRACTIC & HOLISTIC CENTER
Practice address
25 Clark Summit Dr
Ste 103
Bluffton, SC 29910-4205
Phone
(843) 706-2847
Fax
(843) 706-3743
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Raymond A Delgado, DCNPI 1598734790
Title
Owner
Phone
(843) 706-2847

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 2577 SC Primary

Addresses

Primary practice location

25 Clark Summit Dr
Ste 103
Bluffton, SC 29910-4205

Mailing address

25 Clark Summit Dr
Ste 103
Bluffton, SC 29910-4205
Phone (843) 706-2847

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherSCSOCIAL SECURITY NUMBER
1598734790OtherSCNPI # FOR DR. DELGADO

National Provider Directory

National Provider Directory

Locations

25 Clark Summit Dr
Ste 103
Bluffton, SC 29910
Phone (843) 473-8213

Practitioners & affiliated clinicians

Practitioners 2

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1154530848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR",
            "address_2": "STE 103",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-706-2847",
            "fax_number": "843-706-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR",
            "address_2": "STE 103",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-706-2847",
            "fax_number": "843-706-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHIROPRACTIC & HOLISTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-706-2847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # FOR DR. DELGADO",
            "identifier": "1598734790",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.