Active NPI
Lake Murray Chiropractic
- Rehabilitation Chiropractor
- Chapin, SC
National Provider Identifier
1639250186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2186
- Legal business name
- LAKE MURRAY CHIROPRACTIC
- Practice address
- 510 Columbia Ave
Chapin, SC 29036-9424 - Phone
- (803) 345-0334
- Fax
- (803) 345-5462
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Edward Bull III, DC
- Title
- Owner/Chiropractor
- Phone
- (803) 345-0334
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2186 | SC | Primary |
Addresses
Primary practice location
510 Columbia Ave
Chapin, SC 29036-9424
Mailing address
510 Columbia Ave
Chapin, SC 29036-9424
Phone (803) 345-0334
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Cape Charles, VA
- NPI 1922028679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1639250186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 COLUMBIA AVE",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290369424",
"telephone_number": "803-345-0334",
"fax_number": "803-345-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 COLUMBIA AVE",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290369424",
"telephone_number": "803-345-0334",
"fax_number": "803-345-5462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE MURRAY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "BULL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "803-345-0334",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "SC",
"license": "2186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.