Organization Active NPI

Cole Chiropractic Clinic, LLC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1558535666
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3204 Issued in SC
Legal business name
COLE CHIROPRACTIC CLINIC, LLC
Practice address
3404 Salterbeck St
# 201
Mt Pleasant, SC 29466-7119
Phone
(843) 416-8593
Fax
(855) 738-7785
NPI assigned
Apr 18, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Lucas J Cole, D.C.NPI 1093922478
Title
Owner
Phone
(843) 416-8593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3204 SC Primary

Addresses

Primary practice location

3404 Salterbeck St
# 201
Mt Pleasant, SC 29466-7119

Mailing address

636 Long Point Rd
Unit G #101
Mt Pleasant, SC 29464-8286
Phone (843) 416-8593

National Provider Directory

National Provider Directory

Locations

1055 Highway 41
Ste 300
Mt Pleasant, SC 29466
Phone (843) 408-8713

3520 Park Avenue Blvd
Ste 105
Mt Pleasant, SC 29466
Phone (843) 408-8713

636 Long Point Rd
Unit G
Mt Pleasant, SC 29464
Phone (843) 352-0674

Practitioners & affiliated clinicians

Practitioners 2

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558535666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 LONG POINT RD",
            "address_2": "UNIT G #101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648286",
            "telephone_number": "843-416-8593",
            "fax_number": "855-738-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 SALTERBECK ST",
            "address_2": "# 201",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667119",
            "telephone_number": "843-416-8593",
            "fax_number": "855-738-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-416-8593",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.