Coastline Chiropractic and Rehabilitation Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

.3983 Issued in SC

Legal business name

COASTLINE CHIROPRACTIC AND REHABILITATION CENTER

Practice address

1536 Fording Island Rd
Suite 106
Hilton Head Island, SC 29926-1120

Phone

(616) 610-7743

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Dean Scott Klingenberg, D.C.NPI 1073919080

Title

Owner

Phone

(616) 610-7743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dean Scott Klingenberg, D.C.

  • Chiropractor
  • Hilton Head Island, SC
  • NPI 1073919080
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1245624048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 FORDING ISLAND RD",
            "address_2": "SUITE 106",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261120",
            "telephone_number": "616-610-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 FORDING ISLAND RD",
            "address_2": "SUITE 106",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261120",
            "telephone_number": "616-610-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE CHIROPRACTIC AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "KLINGENBERG",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-610-7743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": ".3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clemson Sports Medicine and Rehabilitation
• Clemson Sports Medicine and Rehabilitation Inc
• Clinical Associates of Hilton Head,P.C
• Coastal Anesthesiology Associates, LLC
• Coastal Gastroenterology PC
• Altovise Cohen-Green, LPN
• Hiyaguha Rachelle Cohen, LPCA
• Kelson Lee Colbo, P.T.
• Mitchell Cole
• Thomas M Cole, DC

• Chiropractor in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.