Shirley Chiropractic & Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2245 Issued in SC

Legal business name

SHIRLEY CHIROPRACTIC & WELLNESS CENTER, LLC

Practice address

612 Saint Andrews Rd Ste 3
Columbia, SC 29210-5120

Phone

(803) 772-7626

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Shirley, DC

Title

Member

Phone

(803) 772-7626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Other name

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1215000278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SAINT ANDREWS RD STE 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105120",
            "telephone_number": "803-772-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SAINT ANDREWS RD STE 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105120",
            "telephone_number": "803-772-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "803-772-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2245",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyson Ellis Shirer, PHARM.D.
• Caroline Shirer, RBT
• John Shires
• Sydney Shirey
• Kimberly Shirk, PA-C
• Callie Shirley
• Kathryn Elizabeth Shirley
• Lindsey Shirley
• Mark Coleman Shirley, D.C.
• Molly Shirley, DO

• 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 Dec 19, 2011; 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.