Active NPI
Chad William Bone, D.C.
- Chiropractor
- Surfside Beach, SC
National Provider Identifier
1972801447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3566
- Practice address
- 640 Highway 17 S
Unit E
Surfside Beach, SC 29575-6091 - Phone
- (843) 945-4087
- Fax
- (843) 945-4091
- NPI assigned
- Mar 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 3566 | SC | Primary |
Addresses
Primary practice location
640 Highway 17 S
Unit E
Surfside Beach, SC 29575-6091
Mailing address
640 Highway 17 S
Unit E
Surfside Beach, SC 29575-6091
Phone (843) 945-4087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH3566 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
640 Hwy 17 S
Surfside Beach, SC 29575-6091
640 Hwy 17 S E
Surfside Beach, SC 29575-6091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3566 | SC | MD | Certified Registered Nurse Anesthetist |
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 and National Provider Directory roles.
-
- Chiropractor
- Surfside Beach, SC
- NPI 1649609249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1972801447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 HIGHWAY 17 S",
"address_2": "UNIT E",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756091",
"telephone_number": "843-945-4087",
"fax_number": "843-945-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 HIGHWAY 17 S",
"address_2": "UNIT E",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756091",
"telephone_number": "843-945-4087",
"fax_number": "843-945-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONE",
"first_name": "CHAD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH3566",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.