Ssi Admin, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SSI ADMIN, LLC

Practice address

1945 Glenns Bay Rd
Suite B
Surfside Beach, SC 29575-4833

Phone

(843) 650-4006

Fax

(843) 650-4019

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brian K Adler, MD

Title

Owner

Phone

(843) 650-4006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1740643683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 GLENNS BAY RD",
            "address_2": "SUITE B",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754833",
            "telephone_number": "843-650-4006",
            "fax_number": "843-650-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 GLENNS BAY RD",
            "address_2": "SUITE B",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754833",
            "telephone_number": "843-650-4006",
            "fax_number": "843-650-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSI ADMIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-650-4006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.