Organization Active NPI

Connell Chiropractic Clinic, LLC

  • Clinic/Center
  • Lugoff, SC
National Provider Identifier
1821487521
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2091 Issued in SC
Legal business name
CONNELL CHIROPRACTIC CLINIC, LLC
Practice address
20 Townlee LN Ste C
Lugoff, SC 29078-8989
Phone
(803) 408-9971
NPI assigned
Jan 19, 2015
Last updated
Jan 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Authorized official

Name
Dr. Sterling J Connell, DCNPI 1033188305
Title
Member
Phone
(803) 408-9971

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
Clinic/Center 261Q00000X 2091 SC Primary

Addresses

Primary practice location

20 Townlee LN Ste C
Lugoff, SC 29078-8989

Mailing address

20 Townlee LN Ste C
Lugoff, SC 29078-8989
Phone (803) 408-9971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507002776 SC Part B Supplier - Clinic/Group Practice 2769701044 Receives reassigned benefits from 1 practitioner
Practice locations: Lugoff, SC

National Provider Directory

National Provider Directory

Locations

20 Townlee Ln
Lugoff, SC 29078

20 Townlee Ln
#C
Lugoff, SC 29078
Phone (803) 408-9971

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1821487521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWNLEE LN STE C",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788989",
            "telephone_number": "803-408-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWNLEE LN STE C",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788989",
            "telephone_number": "803-408-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNELL CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "803-408-9971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "2091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lugoff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.