Individual provider Active NPI

Chandler Farrell, DC

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1396554457
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5142 Issued in SC
Practice address
404 N Pine St
Summerville, SC 29483-6557
Phone
(843) 879-9259
Fax
(843) 419-6656
NPI assigned
Jan 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5142 SC Primary

Addresses

Primary practice location

404 N Pine St
Summerville, SC 29483-6557

Mailing address

404 N Pine St
Summerville, SC 29483-6557
Phone (843) 879-9259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206002750 SC Practitioner - Chiropractic 2567992431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Pain Center Summerville LLCGroup PAC ID 7517379639, 2 clinicians

Practice addresses (Care Compare)

404 N Pine St
Summerville, SC 29483-6557
Phone (803) 260-7990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5142SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Pain Center Summerville LLC Chiropractor CurrentSince Jan 7, 2025 Accepting new patients

Locations

404 N Pine St
Summerville, SC 29483
Phone (803) 260-7990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1396554457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N PINE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836557",
            "telephone_number": "843-879-9259",
            "fax_number": "843-419-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N PINE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836557",
            "telephone_number": "843-879-9259",
            "fax_number": "843-419-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.