Organization Active NPI

One Health Chiropractic, LLC

  • Chiropractor
  • Marion, SC
National Provider Identifier
1174916142
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4005 Issued in SC
Legal business name
ONE HEALTH CHIROPRACTIC, LLC
Practice address
2614 E Highway 76
Marion, SC 29571-6336
Phone
(843) 331-2164
NPI assigned
Mar 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

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

Authorized official

Name
Donnie Miller, D.C.NPI 1326437732
Title
Owner/Provider
Phone
(843) 331-2164

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4005 SC Primary

Addresses

Primary practice location

2614 E Highway 76
Marion, SC 29571-6336

Mailing address

1024 Bascus St
Nichols, SC 29581-7312
Phone (843) 331-2164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150511000007 SC Part B Supplier - Clinic/Group Practice 9739408980 Receives reassigned benefits from 1 practitioner
Practice locations: Lake View, SC

National Provider Directory

National Provider Directory

Locations

215 N Main St
Lake View, SC 29563
Phone (843) 268-1060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426291200000",
    "number": "1174916142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 BASCUS ST",
            "city": "NICHOLS",
            "state": "SC",
            "postal_code": "295817312",
            "telephone_number": "843-331-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E HIGHWAY 76",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716336",
            "telephone_number": "843-331-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "843-331-2164",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.

Verify at the official NPI Registry.