Individual provider Active NPI

Morgan Iloncaie, D.C.

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1952844797
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4072 Issued in SC
Practice address
2070 Northbrook Blvd Ste B5
North Charleston, SC 29406-9254
Phone
(843) 641-7075
Fax
(843) 641-7076
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4072 SC Primary

Addresses

Primary practice location

2070 Northbrook Blvd Ste B5
North Charleston, SC 29406-9254

Mailing address

118 Springhall Dr
Ste a
Goose Creek, SC 29445-5360
Phone (843) 735-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125002920 SC Practitioner - Chiropractic 0244599900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 A Kemmerlin LN
Beaufort, SC 29907-2702
Phone (864) 415-8651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SC Lowcountry Chiropractic LLC Chiropractor CurrentSince Nov 26, 2022 Accepting new patients
Kathleen Grabowski PastSince Dec 21, 2017 Accepting new patients

Locations

2121 Boundary St
Ste 205
Beaufort, SC 29902
Phone (843) 252-0540

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1952844797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SPRINGHALL DR",
            "address_2": "STE A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455360",
            "telephone_number": "843-735-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD STE B5",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069254",
            "telephone_number": "843-641-7075",
            "fax_number": "843-641-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILONCAIE",
        "first_name": "MORGAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.