NPIMap

Organization Active NPI

Crown Plaza Chiropractic, LLC

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1275720815
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3121 Issued in SC
Legal business name
CROWN PLAZA CHIROPRACTIC, LLC
Practice address
3160 Highway 21
Suite 106
Fort Mill, SC 29715-8845
Phone
(803) 548-9091
NPI assigned
Sep 27, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Scottie L. Williams, D.C.NPI 1245422344
Title
Owner/Operator
Phone
(803) 548-9091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3121 SC Primary

Addresses

Primary practice location

3160 Highway 21
Suite 106
Fort Mill, SC 29715-8845

Mailing address

3160 Highway 21
Suite 106
Fort Mill, SC 29715-8845
Phone (803) 548-9091

National Provider Directory

National Provider Directory

Locations

3160 Highway 21
Ste 106
Fort Mill, SC 29715
Phone (803) 548-9091

Practitioners & affiliated clinicians

Practitioners 3

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1275720815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 HIGHWAY 21",
            "address_2": "SUITE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158845",
            "telephone_number": "803-548-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 HIGHWAY 21",
            "address_2": "SUITE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158845",
            "telephone_number": "803-548-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN PLAZA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SCOTTIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "803-548-9091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.