Chellis Chiropractic, L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3431 Issued in SC

Legal business name

CHELLIS CHIROPRACTIC, L.L.C.

Practice address

405 N Magnolia St
Summerville, SC 29483-6841

Phone

(843) 871-7775

Fax

(843) 871-7375

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Tara L Chellis, D.C.NPI 1912132978

Title

Chiropractor/Owner

Phone

(843) 871-7775

Specialties & licenses 1

Addresses

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.

• Tara Lorraine Chellis, D.C.

  • Chiropractor
  • Summerville, SC
  • NPI 1912132978
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1841550860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MAGNOLIA ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836841",
            "telephone_number": "843-871-7775",
            "fax_number": "843-871-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MAGNOLIA ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836841",
            "telephone_number": "843-871-7775",
            "fax_number": "843-871-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELLIS CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "CHELLIS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "843-871-7775",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Chaudhury, MD
• Valerie Chavers
• Collin Cheatle, DO
• Gabriel Ryan Chedister, M.D.
• Justin Michael Cheek, LAT, ATC
• Tara Lorraine Chellis, D.C.
• Seana Powers Cherin, DMD
• Serene Cheung, PA
• Children in Crisis in Dorchester County, Inc.
• Chloe Samantha Chin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.