Organization Active NPI

Hudak Chiropractic & Wellness Center PC

  • Chiropractor
  • Murrells Inlet, SC
National Provider Identifier
1295860443
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2222 Issued in SC
Legal business name
HUDAK CHIROPRACTIC & WELLNESS CENTER PC
Practice address
920 Mount Gilead Rd
Suite C-1
Murrells Inlet, SC 29576-7791
Phone
(843) 651-2522
Fax
(843) 651-2499
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Michael John Hudak, DCNPI 1205995974
Title
Owner
Phone
(843) 651-2522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2222 SC Primary

Addresses

Primary practice location

920 Mount Gilead Rd
Suite C-1
Murrells Inlet, SC 29576-7791

Mailing address

PO Box 8157
Myrtle Beach, SC 29578-8157
Phone (843) 651-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000469 SC Part B Supplier - Clinic/Group Practice 4082877824 Receives reassigned benefits from 1 practitioner
Practice locations: Murrells Inlet, SC

National Provider Directory

National Provider Directory

Locations

920 Mount Gilead Rd
Ste C1
Murrells Inlet, SC 29576
Phone (843) 651-2522

10799 Highway 707
Ste 3
Murrells Inlt, SC 29576
Phone (843) 650-2522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1295860443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8157",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295788157",
            "telephone_number": "843-651-2522",
            "fax_number": "843-651-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MOUNT GILEAD RD",
            "address_2": "SUITE C-1",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767791",
            "telephone_number": "843-651-2522",
            "fax_number": "843-651-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDAK CHIROPRACTIC & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-651-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.