Charleston Chiropractic Studio, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHARLESTON CHIROPRACTIC STUDIO, LLC

Doing business as

Charleston Chiropractic Studio

Practice address

1941 Savage Rd Ste 300D
Charleston, SC 29407-4790

Phone

(843) 852-4141

Fax

(843) 793-2952

NPI assigned

Dec 10, 2019

Last updated

Dec 10, 2019By 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

Kasandra Ruettiger, DCNPI 1306219423

Title

Co-Owner/Doctor

Phone

(843) 852-4141

Specialties & licenses 1

Addresses

Other names 1

• Charleston Chiropractic Studio Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• Kasandra Ruettiger, D.C.

  • Chiropractor
  • Charleston, SC
  • NPI 1306219423
  Medicare reassignment NPD Authorized official
• Leo John Ruettiger, DC

  • Chiropractor
  • Charleston, SC
  • NPI 1093352429
  NPD

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1740827773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD STE 300D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074790",
            "telephone_number": "843-852-4141",
            "fax_number": "843-793-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD STE 300D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074790",
            "telephone_number": "843-852-4141",
            "fax_number": "843-793-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON CHIROPRACTIC STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "RUETTIGER",
        "authorized_official_first_name": "KASANDRA",
        "authorized_official_title_or_position": "CO-OWNER/DOCTOR",
        "authorized_official_telephone_number": "843-852-4141",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@charlestonchirostudio.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1941 Savage Rd Ste 300D",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294074790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Charleston Chiropractic Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Charleston, SC
• Providers in Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.