Organization Active NPI

Optimal Health Chiropractic Inc.

  • Chiropractor
  • Beaufort, SC
National Provider Identifier
1255422671
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1890 Issued in SC
Legal business name
OPTIMAL HEALTH CHIROPRACTIC INC.
Practice address
1264 Ribaut Rd Ste 102
Beaufort, SC 29902-6168
Phone
(843) 524-4325
Fax
(843) 524-2885
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Michael S McKelvey, D.C.NPI 1689676355
Title
President
Phone
(843) 524-4325

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1890 SC Primary

Addresses

Primary practice location

1264 Ribaut Rd Ste 102
Beaufort, SC 29902-6168

Mailing address

1264 Ribaut Rd Ste 102
Beaufort, SC 29902-6168
Phone (843) 524-4325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110103000815 SC Part B Supplier - Clinic/Group Practice 4880882034 Receives reassigned benefits from 1 practitioner
Practice locations: Beaufort, SC

National Provider Directory

National Provider Directory

Locations

1264 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 524-4325

Practitioners & affiliated clinicians

Practitioners 2

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1255422671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 RIBAUT RD STE 102",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026168",
            "telephone_number": "843-524-4325",
            "fax_number": "843-524-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 RIBAUT RD STE 102",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026168",
            "telephone_number": "843-524-4325",
            "fax_number": "843-524-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-524-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1890",
            "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 May 15, 2014; 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.