Individual provider Active NPI

Sandra Buffkin, DC

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1467950428
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4392 Issued in SC
Practice address
3448 Forestbrook Rd
Myrtle Beach, SC 29588-7931
Phone
(843) 236-9810
Fax
(843) 236-3702
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12391 FL
Chiropractor 111N00000X 4392 SC Primary

Addresses

Primary practice location

3448 Forestbrook Rd
Myrtle Beach, SC 29588-7931

Mailing address

2964 Highway 90
Conway, SC 29526-9602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231202000051 SC Practitioner - Chiropractic 1850749789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Holistic HavenGroup PAC ID 1355381419, 2 clinicians

Practice addresses (Care Compare)

3448 Forestbrook Rd
Myrtle Beach, SC 29588-7931
Phone (843) 236-9810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12391FLMDChiropractor
4392SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Haven Chiropractor CurrentSince Oct 12, 2023 Accepting new patients
Realigning Health Wellness Center Chiropractor Current Accepting new patients

Locations

721 Long Point Rd
Ste 403
Mt Pleasant, SC 29464
Phone (843) 284-2273

Organizations & group practices 2

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1467950428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 HIGHWAY 90",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 FORESTBROOK RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887931",
            "telephone_number": "843-236-9810",
            "fax_number": "843-236-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFKIN",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12391",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.