Organization Active NPI

Dr. Angela Tharnish, Corporation

Doing business as Charleston Pain Relief Center

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1417285479
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3276 Issued in SC
Legal business name
DR. ANGELA THARNISH, CORPORATION
Doing business as
Charleston Pain Relief Center
Practice address
2294 Otranto Rd
North Charleston, SC 29406-9603
Phone
(843) 225-2550
Fax
(843) 225-2590
NPI assigned
Dec 2, 2009
Last updated
Dec 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. Angela Christine Tharnish, D.C.NPI 1154529345
Title
Owner
Phone
(843) 225-2550

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 3276 SC Primary

Addresses

Primary practice location

2294 Otranto Rd
North Charleston, SC 29406-9603

Mailing address

2294 Otranto Rd
North Charleston, SC 29406-9603
Phone (843) 225-2550

Other identifiers 1

IdentifierTypeStateIssuer
CH3276MedicaidSC

Other names 1

  • Charleston Pain Relief Center Doing business as

National Provider Directory

National Provider Directory

Locations

2294 Otranto Rd
North Charleston, SC 29406
Phone (843) 225-2550

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": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1417285479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 OTRANTO RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069603",
            "telephone_number": "843-225-2550",
            "fax_number": "843-225-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 OTRANTO RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069603",
            "telephone_number": "843-225-2550",
            "fax_number": "843-225-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANGELA THARNISH, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "THARNISH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-225-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3276",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Pain Relief Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.