Individual provider Active NPI

Evaline Etta Delson, D.C., C.C.E.P.

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1801923461
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2341 Issued in SC
Practice address
1322 Ashley River Rd
Charleston, SC 29407-5304
Phone
(843) 556-0101
Fax
(843) 556-8186
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2341 SC Primary

Addresses

Primary practice location

1322 Ashley River Rd
Charleston, SC 29407-5304

Mailing address

1322 Ashley River Rd
Charleston, SC 29407-5304
Phone (843) 556-0101

Other identifiers 1

IdentifierTypeStateIssuer
CH-2341MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2341SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Delson PC Chiropractor PastSince Aug 14, 2000 Accepting new patients
Performance Chiropractic, Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801923461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075304",
            "telephone_number": "843-556-0101",
            "fax_number": "843-556-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075304",
            "telephone_number": "843-556-0101",
            "fax_number": "843-556-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSON",
        "first_name": "EVALINE",
        "middle_name": "ETTA",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.E.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH-2341",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.