Active NPI
Nodricks LLC
- Chiropractor
- Dillon, SC
National Provider Identifier
1780122820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2235
- 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
- NODRICKSLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2235 | Medicaid | SC |
Other names 1
- DILLON CHIROPRACTIC CENTER
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.