Organization Active NPI

Deangelo Chiropractic Inc

  • Chiropractor
  • Murrells Inlet, SC
National Provider Identifier
1750634366
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3280 Issued in SC
Legal business name
DEANGELO CHIROPRACTIC INC
Practice address
5182 Horry Dr
Unit a
Murrells Inlet, SC 29576-5240
Phone
(843) 651-8787
Fax
(843) 651-8788
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Anthony Paul Deangelo, D.C.NPI 1386844793
Title
Owner/Chiropractor
Phone
(914) 204-3924

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3280 SC Primary

Addresses

Primary practice location

5182 Horry Dr
Unit a
Murrells Inlet, SC 29576-5240

Mailing address

5182 Horry Dr
Unit a
Murrells Inlet, SC 29576-5240
Phone (843) 651-8787

Other names 1

  • DeAngelo Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121120000144 SC Part B Supplier - Clinic/Group Practice 0941451033 Receives reassigned benefits from 1 practitioner
Practice locations: Murrells Inlet, SC

National Provider Directory

National Provider Directory

Locations

640 Morse Ave
Unit 1
Murrells Inlt, SC 29576
Phone (843) 651-8787

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": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1750634366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5182 HORRY DR",
            "address_2": "UNIT A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765240",
            "telephone_number": "843-651-8787",
            "fax_number": "843-651-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 HORRY DR",
            "address_2": "UNIT A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765240",
            "telephone_number": "843-651-8787",
            "fax_number": "843-651-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANGELO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "DEANGELO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "914-204-3924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeAngelo Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.