Organization Active NPI

The Chiropractic Center of Mauldin Inc.

  • Chiropractor
  • Mauldin, SC
National Provider Identifier
1336110618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0883 Issued in SC
Legal business name
THE CHIROPRACTIC CENTER OF MAULDIN INC.
Practice address
14C E Butler Rd
Mauldin, SC 29662-2402
Phone
(864) 297-6270
Fax
(864) 288-9010
NPI assigned
Jan 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James D. Mayes Jr., D.C.
Title
Chiropractor
Phone
(864) 297-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0883 SC Primary

Addresses

Primary practice location

14C E Butler Rd
Mauldin, SC 29662-2402

Mailing address

PO Box 982
Mauldin, SC 29662-0982
Phone (864) 297-6270

Other identifiers 2

IdentifierTypeStateIssuer
CHO883MedicaidSC
GCH302MedicaidSC

National Provider Directory

National Provider Directory

Locations

14C E Butler Rd
Mauldin, SC 29662
Phone (864) 297-6270

Practitioners & affiliated clinicians

Practitioners 1

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": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336110618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296620982",
            "telephone_number": "864-297-6270",
            "fax_number": "864-288-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14C E BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622402",
            "telephone_number": "864-297-6270",
            "fax_number": "864-288-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC CENTER OF MAULDIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "864-297-6270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "0883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CHO883",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH302",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.