Organization Active NPI

Off-Island Chiropractic, PC

  • Chiropractor
  • Bluffton, SC
National Provider Identifier
1366567497
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3089 Issued in SC
Legal business name
OFF-ISLAND CHIROPRACTIC, PC
Practice address
1 Sherington Dr
Suite E
Bluffton, SC 29910-6018
Phone
(843) 815-3400
Fax
(843) 815-3402
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Rick L Wooster, DCNPI 1912916727
Title
President
Phone
(843) 815-3400

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 3089 SC Primary

Addresses

Primary practice location

1 Sherington Dr
Suite E
Bluffton, SC 29910-6018

Mailing address

1 Sherington Dr
Suite E
Bluffton, SC 29910-6018
Phone (843) 815-3400

Other identifiers 1

IdentifierTypeStateIssuer
8781OtherSCMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070718000506 SC Part B Supplier - Clinic/Group Practice 3779684907 Receives reassigned benefits from 1 practitioner
Practice locations: Bluffton, SC

National Provider Directory

National Provider Directory

Locations

1 Sherington Dr
Ste E
Bluffton, SC 29910
Phone (843) 686-3722

Practitioners & affiliated clinicians

Practitioners 2

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1366567497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHERINGTON DR",
            "address_2": "SUITE E",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106018",
            "telephone_number": "843-815-3400",
            "fax_number": "843-815-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHERINGTON DR",
            "address_2": "SUITE E",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106018",
            "telephone_number": "843-815-3400",
            "fax_number": "843-815-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFF-ISLAND CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-815-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8781",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.