Advanced Care Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2504 Issued in SC

Legal business name

ADVANCED CARE CLINIC, INC

Practice address

1430 Ebenezer Rd
Ste 101
Rock Hill, SC 29732-2744

Phone

(803) 366-8600

Fax

(803) 366-8877

NPI assigned

Nov 13, 2006

Last updated

Oct 7, 2010By 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

Dr. Andrew Joseph Kasic Jr.NPI 1194728386

Title

President

Phone

(803) 366-8600

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Andrew Joseph Kasic, D.C.

  • Chiropractor
  • Rock Hill, SC
  • NPI 1194728386
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1285705814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 EBENEZER RD",
            "address_2": "STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322744",
            "telephone_number": "803-366-8600",
            "fax_number": "803-366-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 EBENEZER RD",
            "address_2": "STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322744",
            "telephone_number": "803-366-8600",
            "fax_number": "803-366-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "KASIC",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-366-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2504",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.