Seacoast Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2477 Issued in SC

Legal business name

SEACOAST CHIROPRACTIC, LLC

Practice address

3750 Savannah Hwy
Suite G
Johns Island, SC 29455-7909

Phone

(843) 766-1501

Fax

(843) 573-0628

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By 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

Dr. Marcus Ray Hostetler, D.C.NPI 1427001478

Title

Owner

Phone

(843) 766-1501

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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.

• Marcus Ray Hostetler, D.C.

  • Chiropractor
  • Johns Island, SC
  • NPI 1427001478
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750435087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 SAVANNAH HWY",
            "address_2": "SUITE G",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557909",
            "telephone_number": "843-766-1501",
            "fax_number": "843-573-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SAVANNAH HWY",
            "address_2": "SUITE G",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557909",
            "telephone_number": "843-766-1501",
            "fax_number": "843-573-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-766-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2744",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH471",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David Seignious, M.D.
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• Derek Allen Sessions, MSR, PT
• Jason Scott Sessions, D.C.
• Katrina Shelton

• Chiropractor in Johns Island, SC
• Providers in Johns Island, 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 22, 2020; 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.