NPIMap

Organization Active NPI

Coastal Chiropractic Center, LLC

Doing business as Coastal Chiropractic Family Wellness Center

  • Chiropractor
  • N Charleston, SC
National Provider Identifier
1801841366
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SC3074 Issued in SC
Legal business name
COASTAL CHIROPRACTIC CENTER, LLC
Doing business as
Coastal Chiropractic Family Wellness Center
Practice address
5401 Netherby LN
Ste 201
N Charleston, SC 29420-7363
Phone
(843) 225-5362
Fax
(843) 225-5363
NPI assigned
May 23, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Rachelle A Larsen, D.C.NPI 1942226451
Title
Owner/Member
Phone
(843) 225-5362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SC3074 SC Primary

Addresses

Primary practice location

5401 Netherby LN
Ste 201
N Charleston, SC 29420-7363

Mailing address

5401 Netherby LN
Ste 201
N Charleston, SC 29420-7363
Phone (843) 225-5362

Other names 1

  • Coastal Chiropractic Family Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1801841366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NETHERBY LN",
            "address_2": "STE 201",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294207363",
            "telephone_number": "843-225-5362",
            "fax_number": "843-225-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NETHERBY LN",
            "address_2": "STE 201",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294207363",
            "telephone_number": "843-225-5362",
            "fax_number": "843-225-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "843-225-5362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC3074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Chiropractic Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.