Individual provider Active NPI

Courtney S Vanacker, D.C.

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1821327529
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4003 Issued in NC
Practice address
1012 Market Street
Suite 101
Fort Mill, SC 29708
Phone
(803) 370-4294
NPI assigned
Dec 9, 2009
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4003 NC Primary
Chiropractor 111N00000X 3702 SC

Addresses

Primary practice location

1012 Market Street
Suite 101
Fort Mill, SC 29708

Mailing address

1012 Market Street
Suite 101
Fort Mill, SC 29708
Phone (803) 370-4294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112000404 SC Practitioner - Chiropractic 4981826708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluffton Family Chiropractic PAGroup PAC ID 0840104345, 7 clinicians

Practice addresses (Care Compare)

162 Bluffton Rd
Suite 101
Bluffton, SC 29910-6340
Phone (843) 706-3472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3702SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluffton Family Chiropractic P a Chiropractor CurrentSince Sep 3, 2014 Accepting new patients
Elite Carolina Chiropractic Chiropractor Past Accepting new patients
Coxon Lifestyle Management Clinic, LLC Chiropractor Past Accepting new patients

Locations

162 Bluffton Rd
Ste 101
Bluffton, SC 29910
Phone (843) 321-8016

80 Baylor Dr
Ste 114
Bluffton, SC 29910
Phone (843) 706-3472

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1821327529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MARKET STREET",
            "address_2": "SUITE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-370-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MARKET STREET",
            "address_2": "SUITE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-370-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANACKER",
        "first_name": "COURTNEY",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4003",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.