Active NPI
Lancaster One Medical PA
- Primary Care Clinic/Center
- Lancaster, SC
National Provider Identifier
1174620520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 8904
- Legal business name
- LANCASTER ONE MEDICAL PA
- Practice address
- 539 Hwy 9 Bypass E
Lancaster, SC 29720 - Phone
- (803) 286-5700
- Fax
- (803) 285-6119
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Xiaolu J Dong, DC
- Title
- Owner Physician
- Phone
- (803) 286-5700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 8904 | SC | Primary |
Addresses
Primary practice location
539 Hwy 9 Bypass E
Lancaster, SC 29720
Mailing address
539 Hwy 9 Bypass E
Lancaster, SC 29720
Phone (803) 286-5700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089040 | Medicaid | SC | |
| CH2095 | Medicaid | SC | |
| CH1486 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
539 Highway 9 Byp E
Lancaster, SC 29720
Phone (803) 286-5700
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lancaster, SC
- NPI 1548337892
-
- Orthopaedic Surgery Physician
- Cheraw, SC
- NPI 1720081375
-
- Chiropractor
- Fort Mill, SC
- NPI 1669680492
-
- Chiropractor
- Lancaster, SC
- NPI 1144915760
-
- Family Medicine Physician
- Fort Mill, SC
- NPI 1558462085
-
- Chiropractor
- Lancaster, SC
- NPI 1265500144
-
- Chiropractor
- Charlotte, NC
- NPI 1083405674
-
- Family Medicine Physician
- Lancaster, SC
- NPI 1104902154
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1326015066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289779200000",
"number": "1174620520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 HWY 9 BYPASS E",
"city": "LANCASTER",
"state": "SC",
"postal_code": "29720",
"telephone_number": "803-286-5700",
"fax_number": "803-285-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 HWY 9 BYPASS E",
"city": "LANCASTER",
"state": "SC",
"postal_code": "29720",
"telephone_number": "803-286-5700",
"fax_number": "803-285-6119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCASTER ONE MEDICAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2010-11-15",
"status": "A",
"authorized_official_last_name": "DONG",
"authorized_official_first_name": "XIAOLU",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "803-286-5700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "SC",
"license": "8904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089040",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2095",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH1486",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
- Lancaster Hospital Corporation (Springs Memorial Hospital)
- Lancaster Hospital Corporation
- Lancaster Hospital Corporation (Springs Memorial Hospital)
- Lancaster Hospital Corporation (Springs Memorial Hospital CRNA Group)
- Lancaster Imaging Center LLC
- Lancaster Physical Therapy LLC.
- Lancaster Radiological Associates PA
- Lancaster Surgical Associates, P.a.
- Lancaster Treatment Specialists, LLC
- Lancaster Women's Center,P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.