Circle'S Edge, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CIRCLE'S EDGE, LLC

Practice address

4516 Durant Ave
N Charleston, SC 29405-5207

Phone

(828) 638-9990

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Albert Shane Dreher, DC

Title

Owner

Phone

(828) 638-9990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• circles edge, llc/ innovativ health, llc Doing business as

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1932832185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 DURANT AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294055207",
            "telephone_number": "828-638-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 DURANT AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294055207",
            "telephone_number": "828-638-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE'S EDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "DREHER",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-638-9990",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918187",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "circles edge, llc/ innovativ health, llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charleston Hand Therapy Center
• Charleston Neurosurgical
• Charleston Physicians Imaging Center
• Demetrias Chisolm
• Lee Garner Chumney, PT
• Tiffany M Clemmons
• Clemson Sports Medicine and Rehabilitation
• Clemson Sports Medicine and Rehabilitation, Inc.
• Clta, LLC
• Coastal Chiropractic Center, LLC

• Chiropractor in N Charleston, SC
• Providers in N 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 Jul 6, 2022; 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.