Active NPI
River Landing Chiropractic, Inc
- Sports Physician Chiropractor
- Charleston, SC
National Provider Identifier
1407039183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2653
- Legal business name
- RIVER LANDING CHIROPRACTIC, INC
- Practice address
- 130 River Landing Dr
12 D
Charleston, SC 29492-7440 - Phone
- (843) 971-8234
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimmy Lee Smith Jr., D.C.
- Title
- President
- Phone
- (843) 971-8234
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2653 | SC | Primary |
Addresses
Primary practice location
130 River Landing Dr
12 D
Charleston, SC 29492-7440
Mailing address
130 River Landing Dr
12 D
Charleston, SC 29492-7440
Phone (843) 971-8234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
130 River Landing Dr
Unit 12D
Daniel Island, SC 29492
Phone (843) 527-4200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charleston, SC
- NPI 1386731016
-
- Chiropractor
- Goose Creek, SC
- NPI 1568818664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1407039183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 RIVER LANDING DR",
"address_2": "12 D",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294927440",
"telephone_number": "843-971-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 RIVER LANDING DR",
"address_2": "12 D",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294927440",
"telephone_number": "843-971-8234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER LANDING CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JIMMY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-971-8234",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "SC",
"license": "2653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.