Active NPI
Suezen Roff Schilsky, DC
- Chiropractor
- Dillon, SC
National Provider Identifier
1487930392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2342
- Practice address
- 200 E Roosevelt St
Dillon, SC 29536-2516 - Phone
- (843) 340-7088
- Fax
- (843) 841-9884
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2342 | SC | Primary |
Addresses
Primary practice location
200 E Roosevelt St
Dillon, SC 29536-2516
Mailing address
200 E Roosevelt St
Dillon, SC 29536-2516
Phone (843) 340-7088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2342 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1487930392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E ROOSEVELT ST",
"city": "DILLON",
"state": "SC",
"postal_code": "295362516",
"telephone_number": "843-340-7088",
"fax_number": "843-841-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E ROOSEVELT ST",
"city": "DILLON",
"state": "SC",
"postal_code": "295362516",
"telephone_number": "843-340-7088",
"fax_number": "843-841-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILSKY",
"first_name": "SUEZEN",
"middle_name": "ROFF",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dillon, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.