Organization Active NPI

Precision Chiropractic LLC

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1518360478
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3827 Issued in SC
Legal business name
PRECISION CHIROPRACTIC LLC
Practice address
330 E 5TH North St
Ste a
Summerville, SC 29483-0702
Phone
(843) 376-7024
Fax
(864) 751-5940
NPI assigned
Oct 6, 2014
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Jennifer Pero, D.C.NPI 1427494814
Title
Owner/Provider
Phone
(843) 376-7024

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3827 SC Primary

Addresses

Primary practice location

330 E 5TH North St
Ste a
Summerville, SC 29483-0702

Mailing address

330 E 5TH North St
Ste a
Summerville, SC 29483-0702
Phone (843) 376-7024

Other identifiers 1

IdentifierTypeStateIssuer
1427494814OtherSCNPPES, INVIDUAL PROVIDER NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150529001959 SC Part B Supplier - Clinic/Group Practice 9234450420 Receives reassigned benefits from 3 practitioners
Practice locations: Summerville, SC

National Provider Directory

National Provider Directory

Locations

112 W 4th North St
Ste B
Summerville, SC 29483
Phone (843) 376-7024

330 E 5th North St
Ste A
Summerville, SC 29483
Phone (843) 376-7024

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1518360478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 5TH NORTH ST",
            "address_2": "STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294830702",
            "telephone_number": "843-376-7024",
            "fax_number": "864-751-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 5TH NORTH ST",
            "address_2": "STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294830702",
            "telephone_number": "843-376-7024",
            "fax_number": "864-751-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "PERO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "843-376-7024",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES, INVIDUAL PROVIDER NPI",
            "identifier": "1427494814",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.