Carolina Pain Specialists LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

14490 Issued in SC

Legal business name

CAROLINA PAIN SPECIALISTS LLC

Practice address

421 Hulon LN
West Columbia, SC 29169-4832

Phone

(803) 739-6628

Fax

(803) 739-5766

NPI assigned

Sep 4, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Dennis Chapple

Title

Practice Manager

Phone

(803) 739-6628

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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.

• Iva Thigpen Chapple, M.D.

  • Interventional Pain Medicine Physician
  • West Columbia, SC
  • NPI 1720047202
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1275727224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 HULON LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694832",
            "telephone_number": "803-739-6628",
            "fax_number": "803-739-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 HULON LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694832",
            "telephone_number": "803-739-6628",
            "fax_number": "803-739-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "CHAPPLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-739-6628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "14490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4646343",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN1741",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1633",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Care Center
• Carolina Ear Care
• Carolina Healthcare Consultants, Inc
• Carolina Hormone and Health
• Carolina Neuro Specialists
• Carolina Psychiatric Services, Inc
• Carolina Smiles Family Dentistry
• Carolina Speech and Hearing, Inc. (Carolina Health and Hearing)
• Carolina Therapy Solutions, LLC
• Carolina Urology Practice

• Interventional Pain Medicine Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Interventional Pain Medicine Physician in South Carolina

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