Active NPI
Paul Waller Friedman, D.C.
- Chiropractor
- Charleston, SC
National Provider Identifier
1730138165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2136
- Practice address
- 1124 Sam Rittenberg Blvd
Suite #4
Charleston, SC 29407-3362 - Phone
- (843) 225-2588
- Fax
- (843) 225-2599
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2136 | SC | Primary |
Addresses
Primary practice location
1124 Sam Rittenberg Blvd
Suite #4
Charleston, SC 29407-3362
Mailing address
1505 Frogleg CT
Mt Pleasant, SC 29466-9160
Phone (843) 270-2286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2136 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul W Friedman DC LLC | Chiropractor | Past | Accepting new patients |
| Cromer Chiropractic | Chiropractor | Past | Accepting new patients |
| Abundant Life Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Central Avenue Healthworks, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Charleston, SC
- NPI 1104021229
-
- Chiropractor
- Mount Pleasant, SC
- NPI 1528275146
-
- Chiropractor
- Summerville, SC
- NPI 1679611578
-
- Chiropractor
- Charleston, SC
- NPI 1730381336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1730138165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 FROGLEG CT",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294669160",
"telephone_number": "843-270-2286",
"fax_number": "843-225-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 SAM RITTENBERG BLVD",
"address_2": "SUITE #4",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073362",
"telephone_number": "843-225-2588",
"fax_number": "843-225-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "PAUL",
"middle_name": "WALLER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2136",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.