Duncan Church Devolld, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1308 Issued in SC

Practice address

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

Phone

(843) 249-6543

Fax

(843) 280-0837

NPI assigned

Aug 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Street Chiropractic, Inc.

  • Chiropractor
  • North Myrtle Beach, SC
  • NPI 1700906740
  Authorized official Same address or phone
• Lennon Chiropractic Center, LLC

  • Chiropractor
  • North Myrtle Beach, SC
  • NPI 1184035404
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1730371014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301B MAIN ST",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823022",
            "telephone_number": "843-249-6543",
            "fax_number": "843-280-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301B MAIN ST",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823022",
            "telephone_number": "843-249-6543",
            "fax_number": "843-280-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOLLD",
        "first_name": "DUNCAN",
        "middle_name": "CHURCH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "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": []
}

• Robert Allan Day, CPO
• Stephanie Hurst Deal, LPTA
• Dental Professionals of SC, PC (North Myrtle Beach Dentistry)
• Dental Professionals of South Carolina (Gentle Dental Care of North Myrtle Beach)
• Dental Professionals of South Carolina, P.C. (Waterway Dental Care)
• Hilton M Dickson, D.M.D.
• Divine Life Health Center LLC
• Clayton Dixon
• Erin Dixon
• Doctors Care SC, PA (Doctors Care North Myrtle Beach)

• 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 Aug 10, 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.