Organization Active NPI

Mahan Chiropractic Clinic, Inc.

  • Chiropractor
  • Union, SC
National Provider Identifier
1629244330
Registry record updated May 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
687 Issued in SC
Legal business name
MAHAN CHIROPRACTIC CLINIC, INC.
Practice address
214 S Mountain St
Union, SC 29379-2331
Phone
(864) 427-6410
Fax
(864) 427-0144
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2008

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

Authorized official

Name
Dr. Michael M. Mahan, D.C.
Title
President/Chiropractor
Phone
(864) 427-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 687 SC Primary

Addresses

Primary practice location

214 S Mountain St
Union, SC 29379-2331

Mailing address

214 S Mountain St
Union, SC 29379-2331
Phone (864) 427-6410

Other identifiers 1

IdentifierTypeStateIssuer
CH0687MedicaidSC

National Provider Directory

National Provider Directory

Locations

214 S Mountain St
Union, SC 29379
Phone (864) 427-6410

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": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211760000000",
    "number": "1629244330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S MOUNTAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792331",
            "telephone_number": "864-427-6410",
            "fax_number": "864-427-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MOUNTAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792331",
            "telephone_number": "864-427-6410",
            "fax_number": "864-427-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAN CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-26",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "864-427-6410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0687",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; 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.