Active NPI
Palmetto Spinal Center, LLC
- Chiropractor
- Columbia, SC
National Provider Identifier
1861661738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2602
- Legal business name
- PALMETTO SPINAL CENTER, LLC
- Practice address
- 612 Ott Street
Columbia, SC 29205-1846 - Phone
- (803) 799-7101
- NPI assigned
- Feb 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erik Younginer, D.C.
- Title
- Owner
- Phone
- (803) 799-7101
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2602 | SC | Primary |
Addresses
Primary practice location
612 Ott Street
Columbia, SC 29205-1846
Mailing address
612 Ott Street
Columbia, SC 29205-1846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH 2602 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
612 Ott Rd
Columbia, SC 29205
Phone (803) 799-7101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Columbia, SC
- NPI 1063472223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229990400000",
"number": "1861661738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 OTT STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292051846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 OTT STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292051846",
"telephone_number": "803-799-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO SPINAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2008-12-23",
"status": "A",
"authorized_official_last_name": "YOUNGINER",
"authorized_official_first_name": "ERIK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-799-7101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "2602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH 2602",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Palmetto Senior Care Shandon
- Palmetto Southern Comfort Diagnostics (PSC Diagnostics)
- Palmetto Southern Comfort Home Care
- Palmetto Specialty Long Term Care
- Palmetto Speech Language Literacy Group, LLC
- Palmetto State Eyecare, LLC
- Palmetto Surgery Center LLC
- Palmetto Surgical Associates PA
- Palmetto Surgical Consultants Association,Inc.
- Palmland Community Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.