Organization Active NPI

Corrective Chiropractic Fort Mill

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1730864489
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORRECTIVE CHIROPRACTIC FORT MILL
Practice address
1826 Highway 160 W Ste 103
Fort Mill, SC 29708-8254
Phone
(839) 600-3004
Fax
(839) 600-3004
NPI assigned
Jun 20, 2023
Organization subpart
Yes
Parent organization
COHEN CHIROPRACTIC CENTREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Dr. Carmen Gogu, DC
Title
Doctor
Phone
(839) 600-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1826 Highway 160 W Ste 103
Fort Mill, SC 29708-8254

Mailing address

1826 Highway 160 W Ste 103
Fort Mill, SC 29708-8254
Phone (839) 600-3004

National Provider Directory

National Provider Directory
Part of
Cohen Chiropractic Centre

Locations

1826 Highway 160 W
Ste 103
Fort Mill, SC 29708
Phone (839) 600-3004

Practitioners & affiliated clinicians

Practitioners 1

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": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1730864489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 HIGHWAY 160 W STE 103",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088254",
            "telephone_number": "839-600-3004",
            "fax_number": "839-600-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 HIGHWAY 160 W STE 103",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088254",
            "telephone_number": "839-600-3004",
            "fax_number": "839-600-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CHIROPRACTIC FORT MILL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COHEN CHIROPRACTIC CENTRE",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "GOGU",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "839-600-3004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.