Align Chiropractic and Massage – Chiropractor

Key facts

NPI: 1649609249
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 3422 (SC)
Legal business name: ALIGN CHIROPRACTIC AND MASSAGE
Practice address: 640 Highway 17 S
Suite E
Surfside Beach, SC 29575-6091
Phone: (843) 240-9526
NPI assigned: Nov 4, 2013
Organization subpart: No

Authorized official

Name: Dr. Edward S. Thomas, DC
Title: President
Phone: (843) 240-9526

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Chad William Bone, D.C. Chiropractor · Surfside Beach, SC · NPI 1972801447

Medicare reassignment SC

Medicare participation

Medicare fee-for-service enrollment: Enrolled in SC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20140219000565	SC	Part B Supplier - Clinic/Group Practice	9537398490	Receives reassigned benefits from 1 practitioner Practice locations: Surfside Beach, SC

National Provider Directory

Locations

640 Highway 17 S
Ste E
Surfside Beach, SC 29575
Phone (843) 240-9526

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	3422	SC	Yes

Addresses

Primary practice location

640 Highway 17 S
Suite E
Surfside Beach, SC 29575-6091

Mailing address

640 Highway 17 S
Suite E
Surfside Beach, SC 29575-6091

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2013.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1649609249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 HIGHWAY 17 S",
            "address_2": "SUITE E",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HIGHWAY 17 S",
            "address_2": "SUITE E",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756091",
            "telephone_number": "843-240-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN CHIROPRACTIC AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-240-9526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

All providers in Surfside Beach, SC · Chiropractor in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.