NPIMap

Organization Active NPI

Carolina Wellness and Health, LLC

  • Chiropractor
  • Aiken, SC
National Provider Identifier
1598035958
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3663 Issued in SC
Legal business name
CAROLINA WELLNESS AND HEALTH, LLC
Practice address
1310 Pine Log Rd
Suite B
Aiken, SC 29803-7890
Phone
(803) 226-0217
Fax
(803) 226-0459
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Philip Russell Jordan, D.C.
Title
Doctor/Owner
Phone
(803) 226-0217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3663 SC Primary

Addresses

Primary practice location

1310 Pine Log Rd
Suite B
Aiken, SC 29803-7890

Mailing address

1310 Pine Log Rd
Suite B
Aiken, SC 29803-7890
Phone (803) 226-0217

National Provider Directory

National Provider Directory

Locations

1310 Pine Log Rd
Ste B
Aiken, SC 29803
Phone (803) 226-0217

Practitioners & affiliated clinicians

Practitioners 1

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": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1598035958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PINE LOG RD",
            "address_2": "SUITE B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037890",
            "telephone_number": "803-226-0217",
            "fax_number": "803-226-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PINE LOG RD",
            "address_2": "SUITE B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037890",
            "telephone_number": "803-226-0217",
            "fax_number": "803-226-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA WELLNESS AND HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "803-226-0217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

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