Organization Active NPI

Advanced Spinal Care, LLC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1346457462
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2534 Issued in SC
Legal business name
ADVANCED SPINAL CARE, LLC
Practice address
714 Saint Andrews Blvd
Charleston, SC 29407-7141
Phone
(843) 573-9333
Fax
(843) 701-1002
NPI assigned
May 17, 2007
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Dr. Alykhan Azim Shariff, DCNPI 1780769042
Title
President
Phone
(843) 573-9333

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
Chiropractor 111N00000X 2534 SC Primary

Addresses

Primary practice location

714 Saint Andrews Blvd
Charleston, SC 29407-7141

Mailing address

714 Saint Andrews Blvd
Charleston, SC 29407-7141
Phone (843) 573-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051230000176 SC Part B Supplier - Clinic/Group Practice 5193747491 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

1300 Savannah Hwy
Ste 6
Charleston, SC 29407
Phone (843) 573-9333

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1346457462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077141",
            "telephone_number": "843-573-9333",
            "fax_number": "843-701-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077141",
            "telephone_number": "843-573-9333",
            "fax_number": "843-701-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "SHARIFF",
        "authorized_official_first_name": "ALYKHAN",
        "authorized_official_middle_name": "AZIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-573-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2024; 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.

Verify at the official NPI Registry.