Body Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3625 Issued in SC

Legal business name

BODY CHIROPRACTIC

Practice address

7671 Northwoods Blvd Ste G
North Charleston, SC 29406-4058

Phone

(843) 820-5313

Fax

(843) 225-9024

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brian Fletcher Cooke, DC

Title

Owner

Phone

(843) 501-3851

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1811267925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 NORTHWOODS BLVD STE G",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064058",
            "telephone_number": "843-820-5313",
            "fax_number": "843-225-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 NORTHWOODS BLVD STE G",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064058",
            "telephone_number": "843-820-5313",
            "fax_number": "843-225-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "FLETCHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-501-3851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3625",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in North Charleston, SC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.