Clouse Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1892 Issued in SC

Legal business name

CLOUSE CHIROPRACTIC CENTER

Practice address

421 Barony St
Moncks Corner, SC 29461-3145

Phone

(843) 899-7383

Fax

(843) 899-7379

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Peter D Clouse, D.C.

Title

President

Phone

(843) 899-7383

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1306117965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BARONY ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613145",
            "telephone_number": "843-899-7383",
            "fax_number": "843-899-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BARONY ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613145",
            "telephone_number": "843-899-7383",
            "fax_number": "843-899-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUSE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-899-7383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1892",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlestone Bone & Joint PA
• Samantha Chubb, PHARMD
• Caitlin C Clardy
• Helen Yolanda Clark, PH.D.
• Elizabeth Clemson
• Clouse Chiropractic Services LLC
• Coastal Applied Behavior Therapy and Consulting, LLC
• Coastal Carolina Primary Care, LLC
• Coastal Clemson Enterprise LLC
• Coastal Kids Dental & Braces

• All providers in Moncks Corner, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.