Active NPI
Jessica A Cardinal, DC
- Chiropractor
- Columbia, SC
National Provider Identifier
1164489332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2340
- Practice address
- 7522 Irmo Dr
Ste 1
Columbia, SC 29212-8640 - Phone
- (803) 454-1096
- Fax
- (803) 454-1095
- NPI assigned
- Apr 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2340 | SC | Primary |
Addresses
Primary practice location
7522 Irmo Dr
Ste 1
Columbia, SC 29212-8640
Mailing address
PO Box 1322
Irmo, SC 29063-1322
Phone (803) 454-1096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649358508 | Other | SC | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2340 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
401 Harbison Blvd
Ste 3
Columbia, SC 29212
Phone (803) 454-1096
7522 Irmo Dr
Ste 1
Columbia, SC 29212
Phone (803) 454-1096
1 Wellness Blvd
Ste 204
Irmo, SC 29063
Phone (803) 331-3682
601 Northwood Rd
Ste A
Lexington, SC 29072
Phone (516) 746-3135
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Columbia, SC
- NPI 1649358508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1164489332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1322",
"city": "IRMO",
"state": "SC",
"postal_code": "290631322",
"telephone_number": "803-454-1096",
"fax_number": "803-454-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7522 IRMO DR",
"address_2": "STE 1",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128640",
"telephone_number": "803-454-1096",
"fax_number": "803-454-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDINAL",
"first_name": "JESSICA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-29",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1649358508",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.