Central Clinic of Chiropractic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRAL CLINIC OF CHIROPRACTIC

Practice address

11 E Calhoun St
Sumter, SC 29150-4315

Phone

(864) 674-7833

NPI assigned

Apr 26, 2020

Last updated

Apr 26, 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

Shannon Leigh Roberts, DCNPI 1578182101

Title

Officer

Phone

(732) 239-9905

Specialties & licenses 1

Addresses

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.

• Shannon Leigh Roberts, DC

  • Chiropractor
  • Sumter, SC
  • NPI 1578182101
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Thomas Reizer I, DC

  • Chiropractor
  • Sumter, SC
  • NPI 1023637659
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587859200000",
    "number": "1760002166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 ALICE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502445",
            "telephone_number": "864-674-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E CALHOUN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504315",
            "telephone_number": "864-674-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-26",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "732-239-9905",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CentralClinicChiropractic@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 E Calhoun St",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291504315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine M Zybak DMD Family Dentistry Inc
• Erin Michelle Caufield
• Leslie 'Day' G Caughman, LPC
• Ccmma SC LLC
• Cedars Medical Clinic PA
• Central Midlands Adult Day Center
• Zachary Chadnick, M.D.
• Thad Herschel Chalfant, D.C.
• Michelle Robin Champagne
• Giselle Terry-Ann Chandler, MD

• Primary Care Clinic/Center in Sumter, SC
• Providers in Sumter, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.