Pentz Family Chiropractic Life Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3981 Issued in SC

Legal business name

PENTZ FAMILY CHIROPRACTIC LIFE CENTER

Practice address

1706 Old Trolley Rd
Suite F
Summerville, SC 29485-9035

Phone

(843) 879-9824

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. April Rebecca Leary, D.CNPI 1760894299

Title

Owner / Chiropractor

Phone

(321) 591-1985

Specialties & licenses 1

Addresses

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.

• April Rebecca Leary, D.C.

  • Chiropractor
  • Summerville, SC
  • NPI 1760894299
  Medicare reassignment Care Compare group NPD Authorized official
• T. Craig Pentz, D.C

  • Chiropractor
  • Summerville, SC
  • NPI 1558617787
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1790187508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 OLD TROLLEY RD",
            "address_2": "SUITE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859035",
            "telephone_number": "843-879-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 OLD TROLLEY RD",
            "address_2": "SUITE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859035",
            "telephone_number": "843-879-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTZ FAMILY CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "321-591-1985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashliegh Marriah Pelton, NP
• Pelvic Flores, LLC
• John William Pence Sr., MD
• Kisha Beach Penn
• Taylor Findley Penny, DO
• T. Craig Pentz, D.C
• Brad Duncan Peper, DMD
• Diane Sophia Perez
• Perform Medical LLC
• Performance Chiropractic Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.