NPIMap

Organization Active NPI

Joli LLC

Doing business as HealthSource of West Ashley

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1316260805
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOLI LLC
Doing business as
HealthSource of West Ashley
Practice address
1118 Savannah Hwy
Suite B
Charleston, SC 29407-7806
Phone
(843) 766-1255
Fax
(843) 766-3157
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Cori Michelle Wiedrich, D.C.NPI 1346433208
Title
Owner
Phone
(843) 766-1255

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 Primary

Addresses

Primary practice location

1118 Savannah Hwy
Suite B
Charleston, SC 29407-7806

Mailing address

1118 Savannah Hwy
Suite B
Charleston, SC 29407-7806
Phone (843) 766-1255

Other names 1

  • HealthSource of West Ashley Doing business as

National Provider Directory

National Provider Directory

Locations

1118 Savannah Hwy
Ste B
Charleston, SC 29407
Phone (843) 766-1255

1106 Saint Andrews Blvd
#A
Charleston, SC 29407
Phone (843) 206-0327

1118 Savannah Hwy
#B
Charleston, SC 29407
Phone (843) 766-1255

Practitioners & affiliated clinicians

Practitioners 3

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": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1316260805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 SAVANNAH HWY",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077806",
            "telephone_number": "843-766-1255",
            "fax_number": "843-766-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 SAVANNAH HWY",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077806",
            "telephone_number": "843-766-1255",
            "fax_number": "843-766-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "WIEDRICH",
        "authorized_official_first_name": "CORI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-766-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of West Ashley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.