Kidd Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

773 Issued in SC

Legal business name

KIDD CHIROPRACTIC CENTER PA

Practice address

105 Greenland Dr
Goose Creek, SC 29445-5354

Phone

(843) 797-3290

Fax

(843) 797-8598

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Debbie R. Dove- Kidd, DCNPI 1235193830

Title

Owner

Phone

(843) 797-3290

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Debbie Rose Dove-Kidd, DC

  • Chiropractor
  • Goose Creek, SC
  • NPI 1235193830
  Authorized official Same address or phone
• Andrew Luis Urrechaga Quick, DC

  • Chiropractor
  • Goose Creek, SC
  • NPI 1376118752
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1376605212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294450810",
            "telephone_number": "843-797-3290",
            "fax_number": "843-797-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENLAND DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455354",
            "telephone_number": "843-797-3290",
            "fax_number": "843-797-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDD CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "DOVE- KIDD",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-797-3290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0773",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Deleah Keen, MS, ORT/L
• Keith Bryan Flynn DMD PA
• Carolyn S Kelly
• Andrea Lynn Kennedy, MS, OTR/L
• Debra Liana Kerness, LISW-CP
• Kidzone OT LLC
• Karli Marie Kilby, MS, LCPC
• Karen L King, OD
• Rachel L. King, PA
• Jill Adrianne Kirar, D.C.

• Chiropractor in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.