Innovativ Health, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3725 Issued in SC

Legal business name

INNOVATIV HEALTH, LLC

Practice address

1739 Maybank Hwy
Unit D
Charleston, SC 29412-2103

Phone

(843) 640-3224

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Albert Shane Dreher, DC

Title

Owner

Phone

(828) 638-9990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1831585058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 MAYBANK HWY",
            "address_2": "UNIT D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122103",
            "telephone_number": "843-640-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 MAYBANK HWY",
            "address_2": "UNIT D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122103",
            "telephone_number": "843-640-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIV HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "DREHER",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-638-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Charleston, SC
• Providers in Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.