Active NPI
Todd Overdorf, D.C.
- Neurology Chiropractor
- Mount Pleasant, SC
National Provider Identifier
1992821078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 3661
- Practice address
- 501 Bramson CT.
#200
Mount Pleasant, SC 29464-9998 - Phone
- (616) 403-3757
- NPI assigned
- Mar 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | L766087 | MI | |
| Neurology Chiropractor | 111NN0400X | 3661 | SC | Primary |
Addresses
Primary practice location
501 Bramson CT.
#200
Mount Pleasant, SC 29464-9998
Mailing address
501 Bramson CT.
#200
Mt. Pleasant, SC 29464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3661 | SC | MD | Professional Counselor |
| L766087 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ak Chiropractic Research Center PLLC | Chiropractor | Past | Accepting new patients |
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
- Holland, MI
- NPI 1588938583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1992821078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BRAMSON CT.",
"address_2": "#200",
"city": "MT. PLEASANT",
"state": "SC",
"postal_code": "29464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BRAMSON CT.",
"address_2": "#200",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294649998",
"telephone_number": "616-403-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERDORF",
"first_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "L766087",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "SC",
"license": "3661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.