NPIMap

Organization Active NPI

Falk Family Chiropractic Center P.C

  • Chiropractor
  • Conway, SC
National Provider Identifier
1821043464
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2320 Issued in SC
Legal business name
FALK FAMILY CHIROPRACTIC CENTER P.C
Practice address
1501 9TH Ave
Conway, SC 29526-4107
Phone
(843) 248-0104
Fax
(843) 248-4046
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Daniel A. Falk, D.C.NPI 1609829837
Title
President
Phone
(843) 248-0104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2320 SC Primary

Addresses

Primary practice location

1501 9TH Ave
Conway, SC 29526-4107

Mailing address

1501 9TH Ave
Conway, SC 29526-4107
Phone (843) 248-0104

Other identifiers 1

IdentifierTypeStateIssuer
CH2320MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617000633 SC Part B Supplier - Clinic/Group Practice 3678557485 Receives reassigned benefits from 1 practitioner
Practice locations: Conway, SC

National Provider Directory

National Provider Directory

Locations

1421 3rd Ave
Conway, SC 29526
Phone (843) 248-0104

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1334534400000",
    "number": "1821043464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 9TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264107",
            "telephone_number": "843-248-0104",
            "fax_number": "843-248-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 9TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264107",
            "telephone_number": "843-248-0104",
            "fax_number": "843-248-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALK FAMILY CHIROPRACTIC CENTER P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-248-0104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2320",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.