Organization Active NPI

Drinkall Chiropractic Life Center Inc.

  • Chiropractor
  • Newberry, SC
National Provider Identifier
1235317868
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0718 Issued in SC
Legal business name
DRINKALL CHIROPRACTIC LIFE CENTER INC.
Practice address
11489 SC Highway 121
Newberry, SC 29108-9137
Phone
(803) 276-8833
Fax
(803) 276-8837
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Dr. Dennis Richard Drinkall, D.C.
Title
Owner
Phone
(803) 276-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0718 SC Primary

Addresses

Primary practice location

11489 SC Highway 121
Newberry, SC 29108-9137

Mailing address

11489 SC Highway 121
Newberry, SC 29108-9137
Phone (803) 276-8833

Other identifiers 3

IdentifierTypeStateIssuer
CH0718MedicaidSC
1487623807OtherSCINDIVIDUAL NPI
249298758OtherSCBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170124001388 SC Part B Supplier - Clinic/Group Practice 2961784178 Receives reassigned benefits from 1 practitioner
Practice locations: Newberry, SC

National Provider Directory

National Provider Directory

Locations

11489 SC Highway 121
Newberry, SC 29108
Phone (803) 276-8833

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1235317868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11489 SC HIGHWAY 121",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291089137",
            "telephone_number": "803-276-8833",
            "fax_number": "803-276-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11489 SC HIGHWAY 121",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291089137",
            "telephone_number": "803-276-8833",
            "fax_number": "803-276-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRINKALL CHIROPRACTIC LIFE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "DRINKALL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-276-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "0718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0718",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1487623807",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "249298758",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.