Organization Active NPI

Spine Centers of South Carolina, LLP

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1295119063
Registry record updated Jul 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3831 Issued in SC
Legal business name
SPINE CENTERS OF SOUTH CAROLINA, LLP
Practice address
131 Professional Park Rd
Columbia, SC 29229-7847
Phone
(803) 587-8027
NPI assigned
Jul 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2015

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

Authorized official

Name
Robert Sitner, PSY D
Title
Owner
Phone
(803) 587-8027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3831 SC Primary

Addresses

Primary practice location

131 Professional Park Rd
Columbia, SC 29229-7847

Mailing address

4731 W Atlantic Ave # B21
Delray Beach, FL 33445-3897
Phone (803) 587-8027

National Provider Directory

National Provider Directory

Locations

4731 W Atlantic Ave
#B21
Delray Beach, FL 33445

131 Professional Park Rd
Columbia, SC 29229
Phone (803) 217-3325

NPI Registry JSON

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436659200000",
    "number": "1295119063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 W ATLANTIC AVE # B21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453897",
            "telephone_number": "803-587-8027",
            "fax_number": "803-587-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PROFESSIONAL PARK RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297847",
            "telephone_number": "803-587-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTERS OF SOUTH CAROLINA, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-12",
        "last_updated": "2015-07-12",
        "status": "A",
        "authorized_official_last_name": "SITNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-587-8027",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2015; 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.