Active NPI
Charles T Rogers Jr., DC
- Chiropractor
- Surfside Beach, SC
National Provider Identifier
1629139043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2486
- Practice address
- 1665 Glenns Bay Rd
Surfside Beach, SC 29575-4836 - Phone
- (843) 215-2324
- Fax
- (843) 215-0541
- NPI assigned
- Dec 12, 2006
- Last updated
- Aug 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2486 | SC | Primary |
Addresses
Primary practice location
1665 Glenns Bay Rd
Surfside Beach, SC 29575-4836
Mailing address
1665 Glenns Bay Rd
Surfside Beach, SC 29575-4836
Phone (843) 215-2324
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350050597 | Other | SC | RAILROAD MEDICARE |
| CH2486 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3334 S Hwy 17
Murrells Inlet, SC 29576-7634
Phone (843) 655-5869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2486 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murrells Inlet Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
3334 S Highway 17
Murrells Inlt, SC 29576
Phone (843) 633-1179
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Murrells Inlet, SC
- NPI 1801394333
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1629139043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 GLENNS BAY RD",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295754836",
"telephone_number": "843-215-2324",
"fax_number": "843-215-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 GLENNS BAY RD",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295754836",
"telephone_number": "843-215-2324",
"fax_number": "843-215-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CHARLES",
"middle_name": "T",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350050597",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2486",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.