Mitchell E Falk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

961 Issued in SC

Practice address

270 S Main St
Mullins, SC 29574-3120

Phone

(843) 464-8700

Fax

(843) 464-1670

NPI assigned

Jun 14, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Physicians Healthcare of Mullins

  • Legal Medicine
  • Mullins, SC
  • NPI 1720146848
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982609210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743120",
            "telephone_number": "843-464-8700",
            "fax_number": "843-464-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743120",
            "telephone_number": "843-464-8700",
            "fax_number": "843-464-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "MITCHELL",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "570848535",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0961",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Louis Dedonis, MD
• Dhec
• Bryan Dickison
• Okechukwu Dimkpa, MD
• Eagle Nursing LLC
• Luna Renea Fleming
• Douglas Ray Floyd, RPH
• Helga Regina Floyd, FNP-BC
• Follow the Turtle LLC (Turtle)
• Deborah Ford, RN

• Chiropractor in Mullins, SC
• Providers in Mullins, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.