Joshua Bruce Headley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3715 Issued in SC

Practice address

5122 North Rhett Avenue
North Charleston, SC 29405-4240

Phone

(843) 744-2265

Fax

(843) 747-4421

NPI assigned

Oct 26, 2012

Last updated

Oct 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Circle Chiropractic Center LLC

  • Chiropractor
  • North Charleston, SC
  • NPI 1770599524
  NPD (past)
• Petersen Chiropractic

  • Medical Specialty Clinic/Center
  • North Charleston, SC
  • NPI 1841808524
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1881947919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 NORTH RHETT",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054240",
            "telephone_number": "843-744-2265",
            "fax_number": "843-747-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 NORTH RHETT AVENUE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054240",
            "telephone_number": "843-744-2265",
            "fax_number": "843-747-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADLEY",
        "first_name": "JOSHUA",
        "middle_name": "BRUCE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anna Haynes, PA-C
• Monique Haynes, LPC
• Geralah Hazel, LPN
• Callan Lee Hazelbaker, M.A., BCBA
• Meghan Head, NP
• Healing Hands Companions LLC
• Health Business & Information Services LLC
• Health Edge Group, LLC
• Health Edge Group. LLC
• Health Edge Laser LLC (Health Edge Medical and Wellness Center)

• Chiropractor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.