Robert Kelly Haselden Sr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

627 Issued in SC

Practice address

402 Altman St
Moncks Corner, SC 29461-3652

Phone

(843) 761-8522

Fax

(843) 761-8560

NPI assigned

Mar 21, 2007

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

Other identifiers 1

Other names 1

• Dr. Robert K. Haselden Professional name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Lincoln Chiropractic College, 1970

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1942326954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 ALTMAN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613652",
            "telephone_number": "843-761-8522",
            "fax_number": "843-761-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 ALTMAN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613652",
            "telephone_number": "843-761-8522",
            "fax_number": "843-761-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELDEN",
        "first_name": "ROBERT",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "155013700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "HASELDEN",
            "middle_name": "K.",
            "prefix": "DR.",
            "credential": "P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shakira Harrell
• Stantrenetta Akeya Harrold, NP
• Catherine R Hartman
• Angela Harvey, MA, LPC
• Elizabeth Geiger Harvey, PT, DPT, MSR, DHS
• Kristine L Hauke, LMSW
• Ashley Hauswirth, LPC
• Sam J. Hawk, LCMHCA
• Deidre Hayden, LMSW
• Tiffany Hayward-Cobbett, RN

• Chiropractor in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.