Coastal Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COASTAL CHIROPRACTIC CLINIC

Practice address

9428 Ocean Hwy Ste 1
Pawleys Island, SC 29585-8259

Phone

(843) 237-1919

Fax

(843) 237-7694

NPI assigned

Dec 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Michael Tester, DCNPI 1487178562

Title

Sole MBR

Phone

(843) 455-6540

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jonathan Michael Tester, DC

  • Chiropractor
  • Pawleys Island, SC
  • NPI 1487178562
  NPD Authorized official
• Richard D Lacey, D.C.

  • Chiropractor
  • Pawleys Island, SC
  • NPI 1962450403
  NPD (past)

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1306653746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 RAIN TREE LN",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856428",
            "telephone_number": "843-455-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 OCEAN HWY STE 1",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858259",
            "telephone_number": "843-237-1919",
            "fax_number": "843-237-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "TESTER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "843-455-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher T Crosby DPM
• Jason Franklin Clemons, LPC
• Franklin E Clemons, Jr., L.P.C.
• Katherine Close, MD
• Coastal Carolina Mobile Physicians
• Coastal Ear Nose & Throat PC
• Coastal Endontics, LLC
• Coastal Hearing Center Inc
• Coastal Home Care
• Coastal Med, LLC

• Chiropractor in Pawleys Island, SC
• Providers in Pawleys Island, 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 18, 2024; 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.