Organization Active NPI

Harkey Chiropractic, LLC

  • Chiropractor
  • Sumter, SC
National Provider Identifier
1376733667
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2636 Issued in SC
Legal business name
HARKEY CHIROPRACTIC, LLC
Practice address
429 N Main St
Sumter, SC 29150-4232
Phone
(803) 775-6181
Fax
(803) 775-6181
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Jason Harkey, DCNPI 1750383642
Title
Owner
Phone
(803) 775-1037

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 2636 SC Primary

Addresses

Primary practice location

429 N Main St
Sumter, SC 29150-4232

Mailing address

429 N Main St
Sumter, SC 29150-4232
Phone (803) 775-6181

Other identifiers 1

IdentifierTypeStateIssuer
CH2636MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000071 SC Part B Supplier - Clinic/Group Practice 7416912514 Receives reassigned benefits from 1 practitioner
Practice locations: Sumter, SC

National Provider Directory

National Provider Directory

Locations

429 N Main St
Sumter, SC 29150
Phone (803) 775-1037

Practitioners & affiliated clinicians

Practitioners 1

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1376733667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N MAIN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504232",
            "telephone_number": "803-775-6181",
            "fax_number": "803-775-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N MAIN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504232",
            "telephone_number": "803-775-6181",
            "fax_number": "803-775-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARKEY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "HARKEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-775-1037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2636",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.