Collective Chiropractic LLC
Organization Active NPI Chiropractor · Tega Cay, SC
NPI 1821682386 · NPPES record last updated Feb 25, 2021
Key facts
- NPI
- 1821682386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- COLLECTIVE CHIROPRACTIC LLC
- Practice address
- 1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604 - Phone
- (704) 281-2849
- NPI assigned
- Feb 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Ian Patrick Orr, DC
- Title
- Doctor
- Phone
- (704) 281-2849
Practitioners 4
-
Ian Patrick Orr, DC
-
Kimberly D'Amore, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210416001890 | SC | Part B Supplier - Clinic/Group Practice | 1052729712 |
Receives reassigned benefits from 4 practitioners Practice locations: Tega Cay, SC |
National Provider Directory
Locations
1149 Stonecrest Blvd
Ste 106
Tega Cay, SC 29708
Phone (704) 281-2849
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604
Mailing address
1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604
Other providers in Tega Cay, SC
- Donald William Cabana
- Calm Massage & Bodywork
- Lindsay Nichole Caruthers
- CHP Tega Cay SC Tenant Corp
- Charlemaine Cherice Cohen
- Lauren Elisabeth Collins
- Heather Ann Corica
- Julia E Correal
- Sonya Monique Counts Martin
- Editha Cygan
All providers in Tega Cay, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.