Active NPI
Lennon Chiropractic Center, LLC
- Chiropractor
- North Myrtle Beach, SC
National Provider Identifier
1184035404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3722
- Legal business name
- LENNON CHIROPRACTIC CENTER, LLC
- Practice address
- 800 25TH Ave S
Suite a
North Myrtle Beach, SC 29582-4320 - Phone
- (910) 770-2436
- Fax
- (843) 280-2089
- NPI assigned
- May 9, 2014
- 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
- Dr. Charles Lloyd Lennon III, D.C.
- Title
- Chiropractor
- Phone
- (910) 770-2436
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3722 | SC | Primary |
Addresses
Primary practice location
800 25TH Ave S
Suite a
North Myrtle Beach, SC 29582-4320
Mailing address
1679 Peacock Rd
Apt a
Whiteville, NC 28472-8913
Phone (910) 770-2436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
800 25th Ave S
Ste A
North Myrtle Beach, SC 29582
Phone (843) 251-9526
301B Main St
North Myrtle Beach, SC 29582
Phone (843) 249-6543
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- North Myrtle Beach, SC
- NPI 1356607220
-
- Chiropractor
- North Myrtle Beach, SC
- NPI 1730371014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399593600000",
"number": "1184035404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1679 PEACOCK RD",
"address_2": "APT A",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284728913",
"telephone_number": "910-770-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 25TH AVE S",
"address_2": "SUITE A",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295824320",
"telephone_number": "910-770-2436",
"fax_number": "843-280-2089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENNON CHIROPRACTIC CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-09",
"last_updated": "2014-05-09",
"status": "A",
"authorized_official_last_name": "LENNON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "LLOYD",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "910-770-2436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "3722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.