Main Street Back and Neck, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAIN STREET BACK AND NECK, PC

Practice address

2101 Main St Ste B
Columbia, SC 29201-2159

Phone

(803) 256-1224

Fax

(803) 256-1226

NPI assigned

Aug 31, 2010

Organization subpart

No

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

Authorized official

Name

Luke Young

Title

Chiropractor

Phone

(803) 256-1224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1154638989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MAIN ST STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012159",
            "telephone_number": "803-256-1224",
            "fax_number": "803-256-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MAIN ST STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012159",
            "telephone_number": "803-256-1224",
            "fax_number": "803-256-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET BACK AND NECK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "803-256-1224"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody A Magnuson, MD
• Chad Daniel Mahaffey, O.D.
• Betsy Maharaj, PA-C
• Coleman Cronstrom Maher
• Caroline Reade Maier, PA-C
• Main Street Wellness Center, LLC
• Maindoue Health Care
• Kimberly Maines, RD
• Kushagra Maini, MD
• Scott A. Maisch, MD

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.