Organization Active NPI

Good Family Chiropractic LLC

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1245490846
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3335 Issued in SC
Legal business name
GOOD FAMILY CHIROPRACTIC LLC
Doing business as
Good Chiropractic and Wellness Center
Practice address
1710 Old Trolley Rd
Suite C
Summerville, SC 29485-8281
Phone
(843) 225-4663
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Damon P Walton, DC
Title
Member
Phone
(217) 854-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3335 SC Primary

Addresses

Primary practice location

1710 Old Trolley Rd
Suite C
Summerville, SC 29485-8281

Mailing address

110 E 1St North St
Carlinville, IL 62626-1505
Phone (217) 854-3300

Other names 1

  • Good Chiropractic and Wellness Center Doing business as

National Provider Directory

National Provider Directory

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": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1245490846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 1ST NORTH ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261505",
            "telephone_number": "217-854-3300",
            "fax_number": "217-854-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 OLD TROLLEY RD",
            "address_2": "SUITE C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858281",
            "telephone_number": "843-225-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "217-854-3300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.