NPIMap

Organization Active NPI

Spine Pain Center Surfside LLC

Doing business as Spine Pain Center Surfside

  • Chiropractor
  • Surfside Beach, SC
National Provider Identifier
1861094955
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE PAIN CENTER SURFSIDE LLC
Doing business as
Spine Pain Center Surfside
Practice address
400 Highway 17 N
Surfside Beach, SC 29575-6029
Phone
(803) 260-7990
NPI assigned
Nov 12, 2020
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Dr. Joseph Carew, DCNPI 1659329522
Title
Owner
Phone
(803) 260-7990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

400 Highway 17 N
Surfside Beach, SC 29575-6029

Mailing address

248 Cooper River Dr
Mount Pleasant, SC 29464-1814
Phone (803) 260-7990

Other names 1

  • Spine Pain Center Surfside Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201210000547 SC Part B Supplier - Clinic/Group Practice 7719399005 Receives reassigned benefits from 4 practitioners
Practice locations: Surfside Beach, SC

National Provider Directory

National Provider Directory

Locations

404 N Pine St
Summerville, SC 29483
Phone (803) 260-7990

Practitioners & affiliated clinicians

Practitioners 4

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": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1861094955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 COOPER RIVER DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641814",
            "telephone_number": "803-260-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHWAY 17 N",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756029",
            "telephone_number": "803-260-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE PAIN CENTER SURFSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "CAREW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-260-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Pain Center Surfside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spine Pain Center Surfside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.