NPIMap

Organization Active NPI

Intentional Wellness LLC

Doing business as AlignLife of Goose Creek

  • Chiropractor
  • Goose Creek, SC
National Provider Identifier
1932871027
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTENTIONAL WELLNESS LLC
Doing business as
AlignLife of Goose Creek
Practice address
105 Greenland Dr
Goose Creek, SC 29445-5354
Phone
(843) 797-3290
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Dr. Andrew Luis Urrechaga Quick, DCNPI 1376118752
Title
Owner
Phone
(843) 377-9554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

105 Greenland Dr
Goose Creek, SC 29445-5354

Mailing address

105 Greenland Dr
Goose Creek, SC 29445-5354
Phone (843) 797-3290

Other names 1

  • AlignLife of Goose Creek Doing business as

National Provider Directory

National Provider Directory

Locations

105 Greenland Dr
Goose Creek, SC 29445
Phone (843) 377-9554

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1932871027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREENLAND DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455354",
            "telephone_number": "843-797-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENLAND DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455354",
            "telephone_number": "843-797-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "URRECHAGA QUICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-377-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AlignLife of Goose Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.