Main Street Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1308 Issued in SC

Legal business name

MAIN STREET CHIROPRACTIC, INC.

Practice address

301 Main St # B
North Myrtle Beach, SC 29582-3022

Phone

(843) 249-5432

Fax

(843) 280-0837

NPI assigned

Mar 31, 2007

Last updated

Nov 18, 2008By 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

Dr. Duncan Church Devolld, D.C.NPI 1730371014

Title

President

Phone

(843) 249-6543

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Duncan Church Devolld, D.C.

  • Chiropractor
  • North Myrtle Beach, SC
  • NPI 1730371014
  Authorized official Same address or phone

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1700906740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST # B",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823022",
            "telephone_number": "843-249-5432",
            "fax_number": "843-280-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST # B",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823022",
            "telephone_number": "843-249-5432",
            "fax_number": "843-280-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "DEVOLLD",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_middle_name": "CHURCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-249-6543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1308",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Mayes Link, MSN FNP
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• Donnell Ramsey Mace, FNP
• Danielle Marie Maialetti
• Making You Mobile, LLC
• Chance Thomas Malkasian, MA
• Lola Teresa Margron, PA-C
• Marie C. Woodward (North Strand Counseling Services)
• Ashley Martin

• Chiropractor in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.