Individual provider Active NPI

Anthony Audino, DC

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1295861441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2853 Issued in SC
Practice address
3738 Wesley St Ste C
Myrtle Beach, SC 29579-7402
Phone
(843) 241-0200
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2853 SC Primary

Addresses

Primary practice location

3738 Wesley St Ste C
Myrtle Beach, SC 29579-7402

Mailing address

1461 Saint Thomas Cir
Myrtle Beach, SC 29577-5436
Phone (842) 241-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2853SCMDChiropractor
5914AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Coast Chiropractic LLC Chiropractor Past Accepting new patients
Alternative Health Clinic Past Accepting new patients
JS-Bell Enterprises, LLC Chiropractor PastSince Jan 2, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295861441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 SAINT THOMAS CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775436",
            "telephone_number": "842-241-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 WESLEY ST STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797402",
            "telephone_number": "843-241-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDINO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.