Organization Active NPI

Eder Chiropractic Center

  • Chiropractor
  • Walterboro, SC
National Provider Identifier
1619181583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1556SC Issued in SC
Legal business name
EDER CHIROPRACTIC CENTER
Practice address
975 Bells Hwy
Walterboro, SC 29488-2565
Phone
(843) 549-1729
Fax
(843) 542-9470
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stuart A Eder, DCNPI 1154429322
Title
Doctor of Chiropractic
Phone
(843) 549-1729

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 1556SC SC Primary

Addresses

Primary practice location

975 Bells Hwy
Walterboro, SC 29488-2565

Mailing address

975 Bells Hwy
Walterboro, SC 29488-2565
Phone (843) 549-1729

Other identifiers 1

IdentifierTypeStateIssuer
GCH181CH1556MedicaidSC

National Provider Directory

National Provider Directory

Locations

975 Bells Hwy
Walterboro, SC 29488
Phone (803) 549-1729

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619181583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882565",
            "telephone_number": "843-549-1729",
            "fax_number": "843-542-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882565",
            "telephone_number": "843-549-1729",
            "fax_number": "843-542-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDER CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "843-549-1729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1556SC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH181CH1556",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.