NPIMap

Organization Active NPI

Innovativ Health, LLC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1831585058
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Albert Shane Dreher, DCNPI 1518905082
Title
Owner
Phone
(828) 638-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3725 SC Primary

Addresses

Primary practice location

1739 Maybank Hwy
Unit D
Charleston, SC 29412-2103

Mailing address

1739 Maybank Hwy
Unit D
Charleston, SC 29412-2103
Phone (843) 640-3224

National Provider Directory

National Provider Directory

Locations

1739 Maybank Hwy
Ste D
Charleston, SC 29412
Phone (843) 640-3224

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": "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": []
}

Other providers in Charleston, SC

Sources for this page

  • 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.