Organization Active NPI

Mount Pleasant Chiropractic Center LLC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1770052870
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOUNT PLEASANT CHIROPRACTIC CENTER LLC
Doing business as
Mt. Pleasant Chiropractic
Practice address
1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304
Phone
(843) 881-1242
NPI assigned
Nov 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Dr. Kathleen Parks Hahn, DCNPI 1558923276
Title
Owner
Phone
(843) 881-1242

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 Primary

Addresses

Primary practice location

1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304

Mailing address

1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304
Phone (843) 881-1242

Other names 1

  • Mt. Pleasant Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190213002001 SC Part B Supplier - Clinic/Group Practice 4284972464 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

1037 Chuck Dawley Blvd
Ste D102
Mount Pleasant, SC 29464
Phone (843) 571-0602

1321 Chuck Dawley Blvd
Ste 104
Mt Pleasant, SC 29464
Phone (843) 881-1242

Practitioners & affiliated clinicians

Practitioners 3

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": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1770052870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CHUCK DAWLEY BLVD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647304",
            "telephone_number": "843-881-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 CHUCK DAWLEY BLVD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647304",
            "telephone_number": "843-881-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "PARKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-881-1242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Pleasant Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.