Active NPI
Carolin Alexandra Perez, DC
- Chiropractor
- Johns Island, SC
National Provider Identifier
1952042905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4812
- Practice address
- 3069 Maybank Hwy
Johns Island, SC 29455-4873 - Phone
- (843) 628-5353
- NPI assigned
- Apr 5, 2022
- Last updated
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4812 | SC | Primary |
Addresses
Primary practice location
3069 Maybank Hwy
Johns Island, SC 29455-4873
Mailing address
4993 Ohear Ave Apt 6103
North Charleston, SC 29405-5028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220427001382 | SC | Practitioner - Chiropractic | 2668869322 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4812 | SC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Health & Wellness LLC | Chiropractor | Current | Accepting new patients |
Locations
3069 Maybank Hwy
Johns Island, SC 29455
Phone (843) 628-5353
3069 Maybank Hwy
Ste A
Johns Island, SC 29455
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Johns Island, SC
- NPI 1346014404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1952042905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4993 OHEAR AVE APT 6103",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294055028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 MAYBANK HWY",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294554873",
"telephone_number": "843-628-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CAROLIN",
"middle_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.