Southern Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2715 Issued in SC

Legal business name

SOUTHERN CHIROPRACTIC

Practice address

221 Columbia Ave
Lexington, SC 29072-2611

Phone

(803) 356-2870

Fax

(803) 356-2872

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By 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. Alfredo Vallejo III, D.C.NPI 1669897641

Title

President

Phone

(803) 269-2383

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Alfredo Vallejo, DC

  • Chiropractor
  • West Columbia, SC
  • NPI 1669897641
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982829701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 IVY HILL CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728096",
            "telephone_number": "803-269-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 COLUMBIA AVE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722611",
            "telephone_number": "803-356-2870",
            "fax_number": "803-356-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-269-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2715",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Carolina My Care Team (SC My Care)
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• Southeastern Medical Group, LLC
• Southern Medical Management, LLC (SouthernMED Counseling)
• Southern Ride Mobility LLC
• Southlake OBGYN LLC
• Stacie M Sox, MS, CCC-SLP
• Christina Marie Spangenberg

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.