JC Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3220 Issued in SC

Legal business name

JC CHIROPRACTIC LLC

Doing business as

Town Square Chiropractic

Practice address

17 Glenwood Ave
Williamston, SC 29697-1225

Phone

(864) 316-0703

Fax

(864) 847-4877

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 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

Dr. John Calvin Neel IV, D.C.NPI 1336274711

Title

Owner

Phone

(864) 642-8126

Specialties & licenses 1

Addresses

Other names 1

• TOWN SQUARE CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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.

• John Calvin Neel IV, D.C.

  • Chiropractor
  • Belton, SC
  • NPI 1336274711
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780706705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CITY SQ",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296271433",
            "telephone_number": "864-642-8126",
            "fax_number": "864-847-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GLENWOOD AVE",
            "city": "WILLIAMSTON",
            "state": "SC",
            "postal_code": "296971225",
            "telephone_number": "864-316-0703",
            "fax_number": "864-847-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-642-8126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN SQUARE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Williamston, SC
• Providers in Williamston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.