Main Street Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAIN STREET WELLNESS CENTER, LLC

Practice address

2101 Main St Ste B
Columbia, SC 29201-2159

Phone

(803) 343-7023

Fax

(803) 343-7043

NPI assigned

Feb 21, 2014

Last updated

Feb 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan O'Toole

Title

DC

Phone

(803) 343-7023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1164847513",
    "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": "803-343-7023",
            "fax_number": "803-343-7043"
        },
        {
            "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": "803-343-7023",
            "fax_number": "803-343-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "O'TOOLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "803-343-7023"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Maharaj, PA-C
• Coleman Cronstrom Maher
• Cressida Ann Mahung, M.D.
• Caroline Reade Maier, PA-C
• Main Street Back and Neck, PC
• Maindoue Health Care
• Kimberly Maines, RD
• Kushagra Maini, MD
• Scott A. Maisch, MD
• Charleania Megon Major

• 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 Feb 21, 2014; 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.