Active NPI
Holistic Care of Charleston
- Internist Chiropractor
- Charleston, SC
National Provider Identifier
1891059200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 2144
- Legal business name
- HOLISTIC CARE OF CHARLESTON
- Practice address
- 354 Folly Rd
Suite 1
Charleston, SC 29412-2594 - Phone
- (843) 795-9333
- Fax
- (866) 610-1495
- NPI assigned
- Jun 29, 2012
- 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. Bruce Howard Gwinnup, D.C.
- Title
- President
- Phone
- (843) 795-9333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 2144 | SC | Primary |
Addresses
Primary practice location
354 Folly Rd
Suite 1
Charleston, SC 29412-2594
Mailing address
354 Folly Rd
Suite 1
Charleston, SC 29412-2594
Phone (843) 795-9333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U675310281 | Other | SC | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340928000000",
"number": "1891059200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 FOLLY RD",
"address_2": "SUITE 1",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122594",
"telephone_number": "843-795-9333",
"fax_number": "866-610-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 FOLLY RD",
"address_2": "SUITE 1",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122594",
"telephone_number": "843-795-9333",
"fax_number": "866-610-1495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC CARE OF CHARLESTON",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-29",
"last_updated": "2012-06-29",
"status": "A",
"authorized_official_last_name": "GWINNUP",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-795-9333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Internist",
"state": "SC",
"license": "2144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "U675310281",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.