Organization Active NPI

Kru Chiropractic & Wellness

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1992211429
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3832 Issued in SC
Legal business name
KRU CHIROPRACTIC & WELLNESS
Doing business as
Coastline Chiropractic
Practice address
5001 N Kings Hwy Ste 204
Myrtle Beach, SC 29577-2556
Phone
(843) 999-1805
Fax
(855) 277-9141
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Authorized official

Name
Dr. Katie Ulam, DCNPI 1063852994
Title
Owner/Chiropractor
Phone
(843) 999-1805

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3832 SC Primary

Addresses

Primary practice location

5001 N Kings Hwy Ste 204
Myrtle Beach, SC 29577-2556

Mailing address

5187 Horry Dr Unit B
Murrells Inlet, SC 29576-5242

Other names 1

  • Coastline Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180213002300 SC Part B Supplier - Clinic/Group Practice 5395005300 Receives reassigned benefits from 2 practitioners
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

5187 Horry Dr
Unit B
Murrells Inlet, SC 29576
Phone (843) 999-1805

5001 N Kings Hwy
Ste 204
Myrtle Beach, SC 29577
Phone (843) 999-1805

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1992211429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5187 HORRY DR UNIT B",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N KINGS HWY STE 204",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772556",
            "telephone_number": "843-999-1805",
            "fax_number": "855-277-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRU CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "ULAM",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "843-999-1805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.