Organization Active NPI

Chiropractic Family Physicians PA

  • Chiropractor
  • Easley, SC
National Provider Identifier
1669630828
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2162 Issued in SC
Legal business name
CHIROPRACTIC FAMILY PHYSICIANS PA
Practice address
729 E Main St
Easley, SC 29640-3153
Phone
(864) 855-1515
Fax
(864) 855-0488
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Christopher Vincent Bocchino, D.C.NPI 1750383444
Title
President
Phone
(864) 855-1515

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2162 SC Primary

Addresses

Primary practice location

729 E Main St
Easley, SC 29640-3153

Mailing address

729 E Main St
Easley, SC 29640-3153
Phone (864) 855-1515

Other identifiers 1

IdentifierTypeStateIssuer
GCH547MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070829000587 SC Part B Supplier - Clinic/Group Practice 5395838825 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Easley, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

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": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1669630828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 E MAIN ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403153",
            "telephone_number": "864-855-1515",
            "fax_number": "864-855-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E MAIN ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403153",
            "telephone_number": "864-855-1515",
            "fax_number": "864-855-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FAMILY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "BOCCHINO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-855-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH547",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.