Clouse Chiropractic Services LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3453 Issued in SC

Legal business name

CLOUSE CHIROPRACTIC SERVICES LLC

Practice address

112 Broughton Rd
Suite B
Moncks Corner, SC 29461-4021

Phone

(843) 761-4470

Fax

(843) 695-7932

NPI assigned

Dec 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas A McCoy, DCNPI 1063655421

Title

Member/Providor

Phone

(843) 761-4470

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moncks Corner Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Aaron McCoy, D.C.

  • Chiropractor
  • Moncks Corner, SC
  • NPI 1063655421
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1831597772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N HIGHWAY 52",
            "address_2": "SUITE D #127",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613151",
            "telephone_number": "843-761-4470",
            "fax_number": "843-695-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BROUGHTON RD",
            "address_2": "SUITE B",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294614021",
            "telephone_number": "843-761-4470",
            "fax_number": "843-695-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUSE CHIROPRACTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/PROVIDOR",
        "authorized_official_telephone_number": "843-761-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DW2715",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moncks Corner Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Chubb, PHARMD
• Caitlin C Clardy
• Helen Yolanda Clark, PH.D.
• Elizabeth Clemson
• Clouse Chiropractic Center
• Coastal Applied Behavior Therapy and Consulting, LLC
• Coastal Carolina Primary Care, LLC
• Coastal Clemson Enterprise LLC
• Coastal Kids Dental & Braces
• Katrina Cochran, NP

• Chiropractor in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.