Organization Active NPI

My Chiropractor LLC

  • Chiropractor
  • Bluffton, SC
National Provider Identifier
1639485071
Registry record updated May 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3285 Issued in SC
Legal business name
MY CHIROPRACTOR LLC
Practice address
16 William Pope Dr
Ste 103
Bluffton, SC 29909-7502
Phone
(843) 505-6099
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2015

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

Authorized official

Name
Joseph N Boggs, DC
Title
Owner
Phone
(864) 574-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3285 SC Primary

Addresses

Primary practice location

16 William Pope Dr
Ste 103
Bluffton, SC 29909-7502

Mailing address

1454 Gentry Memorial Hwy
Easley, SC 29640-6940
Phone (864) 644-2700

Other identifiers 1

IdentifierTypeStateIssuer
3285OtherSCDC LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431129600000",
    "number": "1639485071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 GENTRY MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296406940",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WILLIAM POPE DR",
            "address_2": "STE 103",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097502",
            "telephone_number": "843-505-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHIROPRACTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2015-05-09",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-574-8881",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSE",
            "identifier": "3285",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2015; 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.