Charleston Spine Institute LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3803 Issued in SC

Legal business name

CHARLESTON SPINE INSTITUTE LLC

Practice address

1019 Physicians Dr
Charleston, SC 29414-5746

Phone

(843) 571-5366

Fax

(843) 571-5659

NPI assigned

Apr 10, 2014

Last updated

Apr 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Stanzel, DCNPI 1720087638

Title

Owner

Phone

(843) 571-5366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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.

• Thomas H Stanzel, D.C.

  • Chiropractor
  • Longmont, CO
  • NPI 1720087638

  SC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1942629613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PHYSICIANS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145746",
            "telephone_number": "843-571-5366",
            "fax_number": "843-571-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 PHYSICIANS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145746",
            "telephone_number": "843-571-5366",
            "fax_number": "843-571-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "STANZEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-571-5366",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Pulmonary Associates PA
• Charleston Restorative & Cosmetic Dentistry LLC
• Charleston Smiles SD
• Charleston Speech Therapy Services LLC
• Charleston Spine & Physical Medicine
• Charleston St LLC
• Charleston Surgical Associates
• Charleston Therapeutic Yoga
• Charleston Thyroid & Endocrine Specialists LLC
• Charleston Vamc

• Chiropractor in Charleston, SC
• Providers in 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 Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.