Organization Active NPI

Pisani Chiropractic

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1376933739
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3984 Issued in SC
Legal business name
PISANI CHIROPRACTIC
Practice address
9730 Dorchester Rd Unit 103
Summerville, SC 29485-9034
Phone
(843) 900-6034
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Dr. Michael Pisani, DCNPI 1275729717
Title
Owner
Phone
(843) 900-6034

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 3984 SC Primary

Addresses

Primary practice location

9730 Dorchester Rd Unit 103
Summerville, SC 29485-9034

Mailing address

9730 Dorchester Rd Unit 103
Summerville, SC 29485-9034
Phone (843) 900-6034

Other names 1

  • AlignLife of Wescott Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150319001307 SC Part B Supplier - Clinic/Group Practice 7012234636 Receives reassigned benefits from 1 practitioner
Practice locations: Summerville, SC

National Provider Directory

National Provider Directory

Locations

9730 Dorchester Rd
Unit 103
Summerville, SC 29485
Phone (843) 900-6034

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": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1376933739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 DORCHESTER RD UNIT 103",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859034",
            "telephone_number": "843-900-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 DORCHESTER RD UNIT 103",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859034",
            "telephone_number": "843-900-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISANI CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "PISANI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-900-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AlignLife of Wescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.