NPIMap

Organization Active NPI

Restore Chiropractic Family Wellness Center, LLC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1487067666
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3053 Issued in SC
Legal business name
RESTORE CHIROPRACTIC FAMILY WELLNESS CENTER, LLC
Practice address
9016 Farrow Rd Ste B
Columbia, SC 29203-8933
Phone
(803) 699-8171
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Dr. Ivory Thigpen, DCNPI 1588698823
Title
Owner
Phone
(803) 699-8171

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3053 SC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3250 SC

Addresses

Primary practice location

9016 Farrow Rd Ste B
Columbia, SC 29203-8933

Mailing address

9016 Farrow Rd Ste B
Columbia, SC 29203-8933
Phone (803) 699-8171

Other names 1

  • Restore Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Restore Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1487067666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 FARROW RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038933",
            "telephone_number": "803-699-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9016 FARROW RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038933",
            "telephone_number": "803-699-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE CHIROPRACTIC FAMILY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "THIGPEN",
        "authorized_official_first_name": "IVORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-699-8171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3053",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.