NPIMap

Organization Active NPI

Davis Chiropractic of Myrtle Beach, Inc.

  • Chiropractor
  • Murrells Inlet, SC
National Provider Identifier
1346304532
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2482 Issued in SC
Legal business name
DAVIS CHIROPRACTIC OF MYRTLE BEACH, INC.
Practice address
12307 Highway 707
Murrells Inlet, SC 29576-9740
Phone
(843) 357-9495
Fax
(843) 357-9440
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Jefferson Charles Davis, D.C.
Title
President
Phone
(843) 357-9495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2482 SC Primary

Addresses

Primary practice location

12307 Highway 707
Murrells Inlet, SC 29576-9740

Mailing address

12307 Highway 707
Murrells Inlet, SC 29576-9740
Phone (843) 357-9495

Other identifiers 1

IdentifierTypeStateIssuer
CH2482MedicaidSC

National Provider Directory

National Provider Directory

Locations

12307 Highway 707
Murrells Inlt, SC 29576
Phone (843) 357-9495

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1346304532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 HIGHWAY 707",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769740",
            "telephone_number": "843-357-9495",
            "fax_number": "843-357-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12307 HIGHWAY 707",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769740",
            "telephone_number": "843-357-9495",
            "fax_number": "843-357-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC OF MYRTLE BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-357-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2482",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.