Island Chiropractic & Wellness Ctr

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5872 Issued in GA

Legal business name

ISLAND CHIROPRACTIC & WELLNESS CTR

Practice address

132 Retreat Plaza
Ste B
St Simons Island, GA 31522

Phone

(912) 634-2245

Fax

(912) 634-8780

NPI assigned

Jun 21, 2006

Last updated

Sep 15, 2010By 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

Dr. Howard A Berg, DCNPI 1093900367

Title

Owner Doctor of Chiropractic Medici

Phone

(912) 634-2245

Specialties & licenses 1

Addresses

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.

• Howard A Berg, DC

  • Chiropractor
  • St Simons Island, GA
  • NPI 1093900367
  NPD (past) Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1962448852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RETREAT PLAZA",
            "address_2": "STE B",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31522",
            "telephone_number": "912-634-2245",
            "fax_number": "912-634-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 RETREAT PLAZA",
            "address_2": "STE B",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31522",
            "telephone_number": "912-634-2245",
            "fax_number": "912-634-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CHIROPRACTIC & WELLNESS CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DOCTOR OF CHIROPRACTIC MEDICI",
        "authorized_official_telephone_number": "912-634-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• House Calls of Coastal Georgia, PC
• Alexandra Noel Houser, DPT. PT
• James Houston, PTA
• Christine Howell, L.M.T.
• Independent Physical Therapy of Ga, LLC (BenchMark PT)
• Island Dental Partners, LLC
• Island Surgery Center, Inc.
• Jennifer Herrin, LPC
• Guoliang Jiang
• Johnson Medical and Aesthetics

• Chiropractor in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.