Organization Active NPI

Doctor Fitness , Inc

  • Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1487897880
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
SC1967 Issued in SC
Legal business name
DOCTOR FITNESS , INC
Practice address
4749 Highway 17 Byp S
Myrtle Beach, SC 29577-6682
Phone
(843) 293-3887
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Zachary James Burkett, CHIROPRACTOR DCNPI 1144463548
Title
Dr. Zac
Phone
(843) 293-3887

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
Clinic/Center 261Q00000X SC1967 SC Primary

Addresses

Primary practice location

4749 Highway 17 Byp S
Myrtle Beach, SC 29577-6682

Mailing address

4749 Highway 17 Byp S
Myrtle Beach, SC 29577-6682
Phone (843) 293-3887

National Provider Directory

National Provider Directory

Locations

4749 Highway 17 Byp S
Myrtle Beach, SC 29577
Phone (843) 293-3887

Practitioners & affiliated clinicians

Practitioners 1

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": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1487897880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776682",
            "telephone_number": "843-293-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776682",
            "telephone_number": "843-293-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR FITNESS , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DR. ZAC",
        "authorized_official_telephone_number": "843-293-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "SC1967",
            "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 Apr 14, 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.