PC Martin Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2253 Issued in SC

Legal business name

PC MARTIN CHIROPRACTIC INC

Practice address

400 Hwy 17 N
Surfside Beach, SC 29575-6029

Phone

(843) 238-5900

Fax

(843) 238-5910

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carole A Martin, DC

Title

Owner

Phone

(843) 238-5900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HealthSource Other name

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1295713519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HWY 17 N",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756029",
            "telephone_number": "843-238-5900",
            "fax_number": "843-238-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HWY 17 N",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756029",
            "telephone_number": "843-238-5900",
            "fax_number": "843-238-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC MARTIN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-238-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2253",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH447",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel A Oehler, PA
• Office Align Incorporated
• Prudence Melinda Olsen, PA-C
• Grishma Pankhania
• John L. Pavy, DDS
• Jabe Thomas Peele
• Anthony Corey Perella, DPT
• Shannon Marie Philipps, DO
• Joshua Pond, D.C.
• Melanie H Porter, NP

• Chiropractor in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.