Active Health Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2207 Issued in SC

Legal business name

ACTIVE HEALTH CHIROPRACTIC CENTER, LLC

Practice address

1501 Heritage LN
Florence, SC 29505-3141

Phone

(843) 665-7817

Fax

(843) 665-7928

NPI assigned

Jun 25, 2007

Last updated

Jan 7, 2019By 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

Mrs. Maria F Williams

Title

Insurance Manager

Phone

(843) 665-7817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard D Heavner, DC

  • Chiropractor
  • Florence, SC
  • NPI 1366443582
  Medicare reassignment NPD

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1699971853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014047",
            "telephone_number": "843-665-7817",
            "fax_number": "436-657-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HERITAGE LN",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053141",
            "telephone_number": "843-665-7817",
            "fax_number": "843-665-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "843-665-7817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accident Injury and Rehabilitation PC
• Ace Medical LLC
• Achievabilities
• Bridget Acquah-Baidoo
• Active Day Inc.
• Active SC One, Inc. (Active Day of Florence)
• Active SC One, Inc. (Active Day of Pee Dee)
• Activehandshomecare LLC
• Demetress Adams-Ludd
• Brantley Michael Adams, PH.D.

• Chiropractor in Florence, SC
• Providers in Florence, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.