NPIMap

Organization Active NPI

Healthsource of Anderson-West

  • Chiropractor
  • Anderson, SC
National Provider Identifier
1538434261
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1874 Issued in SC
Legal business name
HEALTHSOURCE OF ANDERSON-WEST
Practice address
918 Highway 28 Byp
Anderson, SC 29624-1114
Phone
(864) 226-0124
Fax
(864) 231-9227
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Frederic R McCain Jr., D.C.
Title
Owner
Phone
(864) 226-8562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1874 SC Primary

Addresses

Primary practice location

918 Highway 28 Byp
Anderson, SC 29624-1114

Mailing address

918 Highway 28 Byp
Anderson, SC 29624-1114
Phone (864) 226-0124

Other names 1

  • Hrbacek Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1538434261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 HIGHWAY 28 BYP",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296241114",
            "telephone_number": "864-226-0124",
            "fax_number": "864-231-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 HIGHWAY 28 BYP",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296241114",
            "telephone_number": "864-226-0124",
            "fax_number": "864-231-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF ANDERSON-WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-226-8562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hrbacek Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.