Organization Active NPI

Nodricks LLC

  • Chiropractor
  • Dillon, SC
National Provider Identifier
1780122820
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2235 Issued in SC
Legal business name
NODRICKS LLC
Practice address
200 S 3Rd Ave
Dillon, SC 29536-3318
Phone
(843) 487-5123
Fax
(843) 487-5121
NPI assigned
Feb 9, 2017
Organization subpart
Yes
Parent organization
NODRICKSLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Dr. Dale L Nodrick, D.C.
Title
President/Provider
Phone
(843) 487-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2235 SC Primary

Addresses

Primary practice location

200 S 3Rd Ave
Dillon, SC 29536-3318

Mailing address

200 S 3Rd Ave
Dillon, SC 29536-3318
Phone (843) 487-5123

Other identifiers 1

IdentifierTypeStateIssuer
CH2235MedicaidSC

Other names 1

  • DILLON CHIROPRACTIC CENTER Doing business as

National Provider Directory

National Provider Directory
Part of
Nodricks LLC

Locations

200 S 3rd Ave
Dillon, SC 29536
Phone (843) 487-5123

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1780122820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 3RD AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363318",
            "telephone_number": "843-487-5123",
            "fax_number": "843-487-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 3RD AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363318",
            "telephone_number": "843-487-5123",
            "fax_number": "843-487-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NODRICKS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NODRICKSLLC",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "NODRICK",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "843-487-5123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2235",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DILLON CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.