NPIMap

Organization Active NPI

Mid-Island Health & Performance Center

  • Chiropractor
  • Hilton Head, SC
National Provider Identifier
1750321444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2805 Issued in SC
Legal business name
MID-ISLAND HEALTH & PERFORMANCE CENTER
Practice address
430 William Hilton Pkwy Suite 508 B
Hilton Head, SC 29926
Phone
(843) 342-5555
Fax
(843) 342-2255
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brandon M Shapiro, D.CNPI 1871620237
Title
President
Phone
(843) 342-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2805 SC Primary

Addresses

Primary practice location

430 William Hilton Pkwy Suite 508 B
Hilton Head, SC 29926

Mailing address

430 William Hilton Pkwy Suite 508 B
Hilton Head, SC 29926
Phone (843) 342-5555

Other identifiers 1

IdentifierTypeStateIssuer
CH2805MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750321444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WILLIAM HILTON PKWY SUITE 508 B",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-342-5555",
            "fax_number": "843-342-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WILLIAM HILTON PKWY SUITE 508 B",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-342-5555",
            "fax_number": "843-342-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ISLAND HEALTH & PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-342-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2805",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.