Active NPI
Robert Lewis Pascal, D.C.
- Chiropractor
- Moncks Corner, SC
National Provider Identifier
1164587960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1805
- Practice address
- 202 Carolina Ave
Moncks Corner, SC 29461-3785 - Phone
- (843) 899-9088
- Fax
- (843) 899-9088
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1805 | SC | Primary |
Addresses
Primary practice location
202 Carolina Ave
Moncks Corner, SC 29461-3785
Mailing address
1182 Waterfront Dr
Mount Pleasant, SC 29464-7427
Phone (843) 364-9879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH1805 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Chiropractic | Chiropractor | Past | Accepting new patients |
| Trips Chiropractic | Chiropractor | Past | Accepting new patients |
| Berry Massagetherapy & Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Gray'S Pain Relief Center, LLC | Past | Accepting new patients |
Organizations & group practices 4
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
- Moncks Corner, SC
- NPI 1093952533
-
- Chiropractor
- Charleston, SC
- NPI 1861693905
-
- Sports Physician Chiropractor
- Goose Creek, SC
- NPI 1609051036
-
- Chiropractor
- Moncks Corner, SC
- NPI 1972834265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1164587960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 WATERFRONT DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294647427",
"telephone_number": "843-364-9879",
"fax_number": "843-722-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CAROLINA AVE",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613785",
"telephone_number": "843-899-9088",
"fax_number": "843-899-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCAL",
"first_name": "ROBERT",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH1805",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.