Organization Active NPI

Heatherhaseldc

  • Chiropractor
  • Beaufort, SC
National Provider Identifier
1205269040
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3820 Issued in SC
Legal business name
HEATHERHASELDC
Practice address
41 Marshellen Dr
B
Beaufort, SC 29902-6900
Phone
(843) 708-5854
NPI assigned
Aug 15, 2013
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Heather Haselden
Title
Owner
Phone
(843) 708-5854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3820 SC Primary

Addresses

Primary practice location

41 Marshellen Dr
B
Beaufort, SC 29902-6900

Mailing address

41 Marshellen Dr
B
Beaufort, SC 29902-6900

National Provider Directory

National Provider Directory

Locations

41 Marshellen Dr
#B
Beaufort, SC 29902
Phone (843) 708-5854

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1205269040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MARSHELLEN DR",
            "address_2": "B",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MARSHELLEN DR",
            "address_2": "B",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-708-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHERHASELDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "HASELDEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-708-5854"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.