Protz Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2901 Issued in SC

Legal business name

PROTZ CHIROPRACTIC, INC.

Practice address

3455 Broad St
Loris, SC 29569-3001

Phone

(843) 756-2220

Fax

(843) 756-2221

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Jonathan Protz, D.C.

Title

Owner

Phone

(843) 756-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nirenstein Chriopractic Clinic Doing business as

Locations

Practitioners 2

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

• Michael S Nirenstein, MD

  • Family Medicine Physician
  • North Myrtle Beach, SC
  • NPI 1538303060
  NPD (past)
• Benjamin Carl Ward II, D.C.

  • Chiropractor
  • New Port Richey, FL
  • NPI 1538340989
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1295924769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 BROAD ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693001",
            "telephone_number": "843-756-2220",
            "fax_number": "843-756-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 BROAD ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693001",
            "telephone_number": "843-756-2220",
            "fax_number": "843-756-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTZ CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "PROTZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-756-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH523",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nirenstein Chriopractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karina Nicolle Pemberton, NP
• Danatyrone Anthony Peoples
• Christopher L PO, MD
• Powers Pharmacy of Loris Inc
• Caroline Scott Powers, PHARMD, RPH
• George Jonathan Protz, D.C.
• Tracy P. Ray, OD
• Rehabilitating Lives of SC LLC
• Wendy Lee Roy
• Matthew E Rusek, MD

• Chiropractor in Loris, SC
• Providers in Loris, 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 19, 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.