Martial Art Academy

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MARTIAL ART ACADEMY

Practice address

1302 Whiskey Rd
Aiken, SC 29803-5308

Phone

(803) 642-5723

Fax

(803) 642-1158

NPI assigned

Mar 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Andrew Leroy Blocker

Title

Director

Phone

(803) 642-5723

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649247750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035308",
            "telephone_number": "803-642-5723",
            "fax_number": "803-642-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035308",
            "telephone_number": "803-642-5723",
            "fax_number": "803-642-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIAL ART ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOCKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-642-5723",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0061",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Aiken, SC
• Providers in Aiken, SC by specialty
• Counselor in South Carolina

• 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.