John S. Enloe IV, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3119 Issued in SC

Legal business name

JOHN S. ENLOE IV, D.C., P.C.

Doing business as

Enloe Chiropractic Life Center

Practice address

2126 Hwy 9 East
BLDG D-3
Longs, SC 29568-5725

Phone

(843) 399-9722

Fax

(843) 399-9788

NPI assigned

Oct 18, 2006

Last updated

May 7, 2008By 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 Smith Enloe IV, D.C.NPI 1164524120

Title

Doctor

Phone

(843) 399-9722

Specialties & licenses 1

Addresses

Other names 1

• Enloe Chiropractic Life Center 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 S Enloe, CH

  • Chiropractor
  • Longs, SC
  • NPI 1164524120
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1811078512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 HWY 9 EAST",
            "address_2": "BLDG D-3",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295685725",
            "telephone_number": "843-399-9722",
            "fax_number": "843-399-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 HWY 9 EAST",
            "address_2": "BLDG D-3",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295685725",
            "telephone_number": "843-399-9722",
            "fax_number": "843-399-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. ENLOE IV, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "ENLOE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-399-9722",
        "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": "3119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enloe Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.