NPIMap

Organization Active NPI

Rucker Chiropractic

  • Chiropractor
  • Lancaster, SC
National Provider Identifier
1679764849
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2905 Issued in SC
Legal business name
RUCKER CHIROPRACTIC
Practice address
106 N Woodland Dr Ste B
Lancaster, SC 29720-4790
Phone
(803) 286-7746
Fax
(803) 286-7748
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. Ellen Rucker Carter, DC
Title
Chiropractic Physician
Phone
(803) 286-7746

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2905 SC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2792 SC

Addresses

Primary practice location

106 N Woodland Dr Ste B
Lancaster, SC 29720-4790

Mailing address

106 N Woodland Dr Ste B
Lancaster, SC 29720-4790
Phone (803) 286-7746

Other identifiers 2

IdentifierTypeStateIssuer
CH2792MedicaidSC
CH2905MedicaidSC

National Provider Directory

National Provider Directory

Locations

106 Woodland Dr
#A
Lancaster, SC 29720
Phone (803) 283-8442

106B Woodland Dr
Lancaster, SC 29720
Phone (803) 286-7746

Practitioners & affiliated clinicians

Practitioners 2

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1679764849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N WOODLAND DR STE B",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204790",
            "telephone_number": "803-286-7746",
            "fax_number": "803-286-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N WOODLAND DR STE B",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204790",
            "telephone_number": "803-286-7746",
            "fax_number": "803-286-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCKER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "RUCKER",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "803-286-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2905",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2792",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2905",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.