Organization Active NPI

Corrective Chiropractic- Charleston LLC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1396389060
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORRECTIVE CHIROPRACTIC- CHARLESTON LLC
Practice address
1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430
Phone
(843) 972-3174
NPI assigned
Nov 5, 2019
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Austin CohenNPI 1376774158
Title
Owner
Phone
(404) 355-5499

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 Primary

Addresses

Primary practice location

1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430

Mailing address

1217 Iron Bridge Dr Ste 101
Mt Pleasant, SC 29466-7408
Phone (843) 972-3174

Other identifiers 2

IdentifierTypeStateIssuer
1083194195OtherNPI
1235619354OtherSCNPI

National Provider Directory

National Provider Directory
Tax ID family
Carroll Family Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1131 Queensborough Blvd
Ste 101
Mt Pleasant, SC 29464
Phone (843) 216-6047

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": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1396389060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 IRON BRIDGE DR STE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667408",
            "telephone_number": "843-972-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 QUEENSBOROUGH BLVD STE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645430",
            "telephone_number": "843-972-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CHIROPRACTIC- CHARLESTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-355-5499"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083194195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235619354",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.