Individual provider Active NPI

Anthony Choi, DC

  • Chiropractor
  • Mauldin, SC
National Provider Identifier
1497330336
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4569 Issued in SC
Practice address
213 E Butler Rd Ste A2
Mauldin, SC 29662-2172
Phone
(864) 735-8377
NPI assigned
Mar 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4569 SC Primary

Addresses

Primary practice location

213 E Butler Rd Ste A2
Mauldin, SC 29662-2172

Mailing address

213 E Butler Rd Ste A2
Mauldin, SC 29662-2172
Phone (864) 735-8377

Other practice location 1

363 Still Water Cir
Boiling Springs, SC 29316-4828
Phone (864) 735-8377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007003049 SC Practitioner - Chiropractic 5890192082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

213 E Butler Rd
Suite A2
Mauldin, SC 29662-2172
Phone (864) 735-8377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4569SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Spinal Care, LLC Chiropractor CurrentSince Aug 9, 2021 Accepting new patients

Locations

213 E Butler Rd
Ste A2
Mauldin, SC 29662
Phone (864) 735-8377

Organizations & group practices 1

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": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1497330336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E BUTLER RD STE A2",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622172",
            "telephone_number": "864-735-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E BUTLER RD STE A2",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622172",
            "telephone_number": "864-735-8377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Still Water Cir",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "SC",
            "postal_code": "293164828",
            "country_code": "US",
            "telephone_number": "864-735-8377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.