Healthfrist 001 LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3176 Issued in SC

Legal business name

HEALTHFRIST 001 LLC

Doing business as

St Martin Chiropractic

Practice address

700 Garlington Rd Ste G
Greenville, SC 29615-5435

Phone

(864) 281-9393

Fax

(864) 281-9394

NPI assigned

Sep 20, 2006

Last updated

Jan 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Damon P Walton, DCNPI 1518297100

Title

Member

Phone

(217) 854-3300

Specialties & licenses 1

Addresses

Other names 1

• St Martin Chiropractic Doing business as

Locations

Practitioners 2

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.

• Damon Paul Walton, DC

  • Chiropractor
  • Lincoln, IL
  • NPI 1518297100
  NPD (past) Authorized official
• Douglas P St Martin, CH

  • Chiropractor
  • Greenville, SC
  • NPI 1083712624
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201392000000",
    "number": "1871691410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 1ST NORTH ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261505",
            "telephone_number": "217-854-3300",
            "fax_number": "217-854-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARLINGTON RD STE G",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155435",
            "telephone_number": "864-281-9393",
            "fax_number": "864-281-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFRIST 001 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-27",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "217-854-3300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Martin Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.