Active NPI
Rak Specific Chiropractic Clinic
- Chiropractor
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2270
- Legal business name
- RAK SPECIFIC CHIROPRACTIC CLINIC
- Practice address
- 1303 Ben Sawyer Blvd Ste 7
Mount Pleasant, SC 29464-4589 - Phone
- (843) 971-8020
- Fax
- (843) 971-8285
- NPI assigned
- Oct 20, 2014
- 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. Edward Rak, D.C.
- Title
- Owner
- Phone
- (843) 971-8020
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 | 2270 | SC | Primary |
Addresses
Primary practice location
1303 Ben Sawyer Blvd Ste 7
Mount Pleasant, SC 29464-4589
Mailing address
1303 Ben Sawyer Blvd Ste 7
Mount Pleasant, SC 29464-4589
Phone (843) 971-8020
Other names 1
- Rak Specific Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Rak Specific Chiropractic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Mt Pleasant, SC
- NPI 1548462328
Locations
765 Long Point Rd
Ste 102
Mount Pleasant, SC 29464
Phone (843) 971-8020
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
- Mt Pleasant, SC
- NPI 1447330303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413763200000",
"number": "1861896847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 BEN SAWYER BLVD STE 7",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294644589",
"telephone_number": "843-971-8020",
"fax_number": "843-971-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 BEN SAWYER BLVD STE 7",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294644589",
"telephone_number": "843-971-8020",
"fax_number": "843-971-8285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAK SPECIFIC CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A",
"authorized_official_last_name": "RAK",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-971-8020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "2270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rak Specific Chiropractic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.