Individual provider Active NPI

Shea Levitan, D.C.

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1275039489
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4296 Issued in SC
Practice address
1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304
Phone
(843) 881-1242
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4892 NC
Chiropractor 111N00000X 4296 SC Primary

Addresses

Primary practice location

1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304

Mailing address

1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4296SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Pleasant Chiropractic Center LLC Chiropractor Past Accepting new patients
Mt. Pleasant Chiropractic Center PastSince Jun 25, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1275039489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CHUCK DAWLEY BLVD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 CHUCK DAWLEY BLVD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647304",
            "telephone_number": "843-881-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAN",
        "first_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4892",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.