Active NPI
Carroll Family Chiropractic LLC
Doing business as Harbor Wellness CO
- Chiropractor
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CARROLL FAMILY CHIROPRACTIC LLC
- Doing business as
- Harbor Wellness CO
- Practice address
- 1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430 - Phone
- (843) 972-3174
- Fax
- (843) 972-3174
- NPI assigned
- Jul 26, 2023
- Last updated
- Jul 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Carroll
- Title
- Owner
- Phone
- (843) 972-3174
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430
Mailing address
1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430
Other names 1
- Harbor Wellness CO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Carroll Family Chiropractic LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Mount Pleasant, SC
- NPI 1396389060
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Mount Pleasant, SC
- NPI 1235619354
-
- Chiropractor
- Mount Pleasant, SC
- NPI 1083194195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1326729062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 QUEENSBOROUGH BLVD STE 101",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294645430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 QUEENSBOROUGH BLVD STE 101",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294645430",
"telephone_number": "843-972-3174",
"fax_number": "843-972-3174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARROLL FAMILY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-972-3174"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor Wellness CO",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.