Tara Lorraine Chellis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3431 Issued in SC

Practice address

405 N Magnolia St
Summerville, SC 29483-6841

Phone

(843) 871-7775

Fax

(843) 871-7375

NPI assigned

May 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tara Lorraine Bisacco Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Chellis Chiropractic, L.L.C.

  • Chiropractor
  • Summerville, SC
  • NPI 1841550860
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1912132978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MAGNOLIA ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836841",
            "telephone_number": "843-871-7775",
            "fax_number": "843-871-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MAGNOLIA ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836841",
            "telephone_number": "843-871-7775",
            "fax_number": "843-871-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELLIS",
        "first_name": "TARA",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BISACCO",
            "middle_name": "LORRAINE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Chavers
• Collin Cheatle, DO
• Gabriel Ryan Chedister, M.D.
• Justin Michael Cheek, LAT, ATC
• Chellis Chiropractic, L.L.C.
• Seana Powers Cherin, DMD
• Serene Cheung, PA
• Children in Crisis in Dorchester County, Inc.
• Chloe Samantha Chin
• Jana Matthews Chinners, PA-C

• Chiropractor in Summerville, SC
• Providers in Summerville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.