Organization Active NPI

Corrective Chiropractic - Beaufort

  • Chiropractor
  • Beaufort, SC
National Provider Identifier
1235729815
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORRECTIVE CHIROPRACTIC - BEAUFORT
Practice address
1264 Ribaut Rd Ste 301
Beaufort, SC 29902-6128
Phone
(843) 929-1495
NPI assigned
Jan 19, 2021
Last updated
Jan 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Austin Cohen, DCNPI 1376774158
Title
Owner
Phone
(770) 712-6202

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)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1264 Ribaut Rd Ste 301
Beaufort, SC 29902-6128

Mailing address

1264 Ribaut Rd Ste 301
Beaufort, SC 29902-6128
Phone (843) 929-1495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210402000131 SC Part B Supplier - Clinic/Group Practice 8921415282 Receives reassigned benefits from 2 practitioners
Practice locations: Beaufort, SC; Fort Mill, SC; Newberry, SC

National Provider Directory

National Provider Directory

Locations

1264 Ribaut Rd
Ste 301
Beaufort, SC 29902
Phone (843) 770-0009

1826 Highway 160 W
Ste 103
Fort Mill, SC 29708
Phone (839) 600-3004

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1235729815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 RIBAUT RD STE 301",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026128",
            "telephone_number": "843-929-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 RIBAUT RD STE 301",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026128",
            "telephone_number": "843-929-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CHIROPRACTIC - BEAUFORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-712-6202",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Jan 19, 2021; 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.