Randall Clyde Lindstrom, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3755 Issued in SC

Practice address

2294 Otranto Rd
N Charleston, SC 29406-9603

Phone

(843) 225-2550

NPI assigned

Aug 8, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CpandlGroup PAC ID 6608289806, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CP&L

  • Physical Medicine & Rehabilitation Physician
  • Mount Pleasant, SC
  • NPI 1750988424
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1407103583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 OTRANTO ROAD",
            "city": "N. CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-225-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 OTRANTO RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069603",
            "telephone_number": "843-225-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "RANDALL",
        "middle_name": "CLYDE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Russell Lawton, CRT
• Marilyn Lee
• Kelly M Leighty
• Elizabeth May Leonard, M.D.
• Kyle Libbey, MD
• Joel Chandler Lista, RPH
• Littles of the Lowcountry Therapy Services
• Amanda Allen Littleton, APRN
• Mary A Lobianco, RN
• Whitney Long

• Chiropractor in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.