James Island Family Chiropractic, LLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3676 Issued in SC

Legal business name

JAMES ISLAND FAMILY CHIROPRACTIC, LLC.

Practice address

1939 Maybank Hwy
Charleston, SC 29412-2114

Phone

(843) 795-1999

Fax

(843) 795-1981

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matt Michaud, D.C.

Title

Owner

Phone

(843) 795-1999

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Peterson, DC

  • Chiropractor
  • Lakewood, WA
  • NPI 1629035167
  NPD (past)

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1326306424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MAYBANK HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122114",
            "telephone_number": "843-795-1999",
            "fax_number": "843-795-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 MAYBANK HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122114",
            "telephone_number": "843-795-1999",
            "fax_number": "843-795-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES ISLAND FAMILY CHIROPRACTIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-795-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1609932953",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Island Charter High School
• James Island Charter High School
• James Island Dental Associates, PA
• James Island Dental, LLC
• James Island Dentistry for Children LLC
• James Island Family Orthodontics LLC
• James Island Family Practice
• James Island Pediatrics
• James Island Presbyterian Foundation (Lowcountry Pastoral Counseling Center)
• James Myers III LLC

• Chiropractor in Charleston, SC
• Providers in Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.