NPIMap

Organization Active NPI

Wiedrich LLC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1346414950
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3324 Issued in SC
Legal business name
WIEDRICH LLC
Practice address
1175 Folly Rd
Suite E
Charleston, SC 29412-4130
Phone
(843) 225-1236
Fax
(843) 225-1237
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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) 906-7232

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 3324 SC Primary

Addresses

Primary practice location

1175 Folly Rd
Suite E
Charleston, SC 29412-4130

Mailing address

1175 Folly Rd
Suite E
Charleston, SC 29412-4130
Phone (843) 225-1236

Other names 1

  • HealthSource of James Island Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1346414950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 FOLLY RD",
            "address_2": "SUITE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124130",
            "telephone_number": "843-225-1236",
            "fax_number": "843-225-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 FOLLY RD",
            "address_2": "SUITE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124130",
            "telephone_number": "843-225-1236",
            "fax_number": "843-225-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEDRICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-10-14",
        "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": "843-906-7232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of James Island",
            "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 Oct 14, 2008; 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.