Organization Active NPI

Creative Chiropractic and Wellness, LLC

  • Chiropractor
  • Gaffney, SC
National Provider Identifier
1962566570
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2822 Issued in SC
Legal business name
CREATIVE CHIROPRACTIC AND WELLNESS, LLC
Practice address
401 S Logan St
Gaffney, SC 29341-1608
Phone
(864) 488-9191
Fax
(864) 488-9185
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Hillary Beth Mower, D.C.
Title
Chiropractic Physician Member LLC
Phone
(864) 488-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2822 SC Primary

Addresses

Primary practice location

401 S Logan St
Gaffney, SC 29341-1608

Mailing address

401 S Logan St
Gaffney, SC 29341-1608
Phone (864) 488-9191

Other identifiers 1

IdentifierTypeStateIssuer
CH2822MedicaidSC

National Provider Directory

National Provider Directory

Locations

401 S Logan St
Gaffney, SC 29341
Phone (803) 431-0677

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1962566570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411608",
            "telephone_number": "864-488-9191",
            "fax_number": "864-488-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411608",
            "telephone_number": "864-488-9191",
            "fax_number": "864-488-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "MOWER",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN MEMBER LLC",
        "authorized_official_telephone_number": "864-488-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2822",
            "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 Feb 9, 2011; 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.