Individual provider Active NPI

Martia Lea Creighton Thigpen, D.C.

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1215122890
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3250 Issued in SC
Practice address
2627 Millwood Ave Ste A1
Columbia, SC 29205-1273
Phone
(803) 256-1213
Fax
(803) 256-1215
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3250 SC Primary

Addresses

Primary practice location

2627 Millwood Ave Ste A1
Columbia, SC 29205-1273

Mailing address

2627 Millwood Ave Ste A1
Columbia, SC 29205-1273
Phone (803) 256-1213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150206000273 SC Practitioner - Chiropractic 6406171826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Chiropractic Family Wellness CenterGroup PAC ID 5890010219, 2 clinicians

Practice addresses (Care Compare)

9016 Farrow Rd
Suite B
Columbia, SC 29203-8933
Phone (803) 699-8171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3250SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Chiropractic Family Wellness Center Chiropractor CurrentSince Jul 1, 2014 Accepting new patients
Millwood Chiropractic, Inc. Chiropractor Past Accepting new patients
Restore Chiropractic Family Wellness Center, LLC Chiropractor PastSince Jul 1, 2014 Accepting new patients

Locations

9016 Farrow Rd
Ste B
Columbia, SC 29203
Phone (803) 699-8171

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1215122890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 MILLWOOD AVE STE A1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051273",
            "telephone_number": "803-256-1213",
            "fax_number": "803-256-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 MILLWOOD AVE STE A1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051273",
            "telephone_number": "803-256-1213",
            "fax_number": "803-256-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON THIGPEN",
        "first_name": "MARTIA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.