Individual provider Active NPI

Christen Bowman Clements, D.C.

  • Chiropractor
  • Irmo, SC
National Provider Identifier
1508034604
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3778 Issued in SC
Practice address
7921 Broad River Rd
Irmo, SC 29063-2358
Phone
(803) 749-7494
Fax
(800) 823-1232
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3778 SC Primary

Addresses

Primary practice location

7921 Broad River Rd
Irmo, SC 29063-2358

Mailing address

7921 Broad River Rd
Irmo, SC 29063-2358
Phone (803) 509-1855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000111 SC Practitioner - Chiropractic 7517037732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7921 Broad River Rd
Irmo, SC 29063-2358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3778SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Chiropractic & Orthopedic CurrentSince Sep 25, 2019 Accepting new patients

Locations

7921 Broad River Rd
Irmo, SC 29063
Phone (803) 749-7494

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": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1508034604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632358",
            "telephone_number": "803-509-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632358",
            "telephone_number": "803-749-7494",
            "fax_number": "800-823-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "CHRISTEN",
        "middle_name": "BOWMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.