Organization Active NPI

Method Health Center, LLC

  • Chiropractor
  • Daniel Island, SC
National Provider Identifier
1538557913
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3973 Issued in SC
Legal business name
METHOD HEALTH CENTER, LLC
Practice address
895 Island Park Dr
Suite a
Daniel Island, SC 29492-7991
Phone
(843) 696-9131
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Kelly Brown, D.C.
Title
Chiropractor
Phone
(303) 668-8428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3973 SC Primary

Addresses

Primary practice location

895 Island Park Dr
Suite a
Daniel Island, SC 29492-7991

Mailing address

1493 Oldenburg Dr
Awendaw, SC 29429-4965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150217002105 SC Part B Supplier - Clinic/Group Practice 8325363294 Receives reassigned benefits from 2 practitioners
Practice locations: Daniel Island, SC

National Provider Directory

National Provider Directory

Locations

895 Island Park Dr
Ste A
Daniel Island, SC 29492
Phone (843) 696-9131

895 Island Park Dr
#A
Daniel Island, SC 29492
Phone (843) 696-9131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1538557913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 OLDENBURG DR",
            "city": "AWENDAW",
            "state": "SC",
            "postal_code": "294294965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 ISLAND PARK DR",
            "address_2": "SUITE A",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927991",
            "telephone_number": "843-696-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHOD HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "303-668-8428",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.