Irmo Family Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2898 Issued in SC

Legal business name

IRMO FAMILY CHIROPRACTIC, INC

Practice address

1032A Kinley Rd
Irmo, SC 29063-9632

Phone

(803) 732-6635

Fax

(803) 461-0655

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Jokerst, D.C.NPI 1295704146

Title

President

Phone

(803) 732-6635

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J. Jokerst, D.C.

  • Chiropractor
  • Irmo, SC
  • NPI 1295704146
  Medicare reassignment NPD Authorized official
• Matthew W. Miller, D.C.

  • Chiropractor
  • Columbia, SC
  • NPI 1316958291
  NPD
• Morgan Rena Andrews, D.C.

  • Chiropractor
  • Woodruff, SC
  • NPI 1144791039
  NPD (past)
• Kimberly Brentlinger Fanguy, FNP-C

  • Adult Health Nurse Practitioner
  • West Columbia, SC
  • NPI 1750828398
  NPD (past)
• Stephanie M Jokerst, FNP-BC

  • Acute Care Nurse Practitioner
  • Irmo, SC
  • NPI 1235652967
  NPD (past)
• Michael Vasily Lozitsky, D.C.

  • Chiropractor
  • Irmo, SC
  • NPI 1417222761
  NPD (past)
• Melissa Householder Senf, APRN

  • Family Nurse Practitioner
  • West Columbia, SC
  • NPI 1275170730
  NPD (past)
• Brent Scott Tobin, D.C.

  • Chiropractor
  • Irmo, SC
  • NPI 1164862173
  NPD (past)
• Peter Gunnar Rambo Jr., AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Lynchburg, VA
  • NPI 1699348573
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1457539728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032A KINLEY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639632",
            "telephone_number": "803-732-6635",
            "fax_number": "803-461-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032A KINLEY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639632",
            "telephone_number": "803-732-6635",
            "fax_number": "803-461-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMO FAMILY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "JOKERST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-732-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2898",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Irmo Kids Dental LLC
• Irmo Primary Eyecare LLC
• Everlena Isaac
• J&J Anesthesia, LLC
• Angela Jackson, LISW-CP

• Chiropractor in Irmo, SC
• Providers in Irmo, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.

Verify at the official NPI Registry.