Organization Active NPI

Ehlich Family Chiropractic

  • Chiropractor
  • Gaffney, SC
National Provider Identifier
1962536433
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1207 Issued in SC
Legal business name
EHLICH FAMILY CHIROPRACTIC
Practice address
717 Chesnee Hwy
Gaffney, SC 29341-2749
Phone
(864) 489-0008
Fax
(864) 489-8008
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Kimberly Ehlich-McDowell, D.C.NPI 1871506568
Title
Owner
Phone
(864) 489-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1207 SC Primary

Addresses

Primary practice location

717 Chesnee Hwy
Gaffney, SC 29341-2749

Mailing address

717 Chesnee Hwy
Gaffney, SC 29341-2749
Phone (864) 489-0008

Other identifiers 2

IdentifierTypeStateIssuer
CH1207MedicaidSC
GCH195MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080728000709 SC Part B Supplier - Clinic/Group Practice 5395819114 Receives reassigned benefits from 1 practitioner
Practice locations: Gaffney, SC

National Provider Directory

National Provider Directory

Locations

717 Chesnee Hwy
Gaffney, SC 29341
Phone (864) 489-0008

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1962536433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 CHESNEE HWY",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412749",
            "telephone_number": "864-489-0008",
            "fax_number": "864-489-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CHESNEE HWY",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412749",
            "telephone_number": "864-489-0008",
            "fax_number": "864-489-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHLICH FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "EHLICH-MCDOWELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-489-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1207",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH195",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.