COASTAL CHIROPRACTIC CENTER, LLC (NPI# 1801841366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801841366 |
| Entity Type | Organization |
| Organization Name | COASTAL CHIROPRACTIC CENTER, LLC |
| Other Organization Name | COASTAL CHIROPRACTIC FAMILY WELLNESS CENTER |
| Practice Address |
5401 Netherby Ln Ste 201 N Charleston SC 29420-7363 |
| Practice Telephone | 8432255362 |
| Practice Fax Number | 8432255363 |
| Mailing Telephone | 8432255362 |
| Mailing Fax Number | 8432255363 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | DR. RACHELLE A LARSEN (OWNER/MEMBER) |
| Authorized Official Telephone | 8432255362 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | SC3074 | SC | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Coastal Chiropractic Family Wellness Center | Doing Business As Name - Organization |
| Street Address |
5401 NETHERBY LN STE 201 |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29420-7363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994343 | Sherrel Aiken Brown | Psychologist | 8202 Pleasant Ridge Dr, North Charleston, SC 29420 | 2016-11-09 |
| 1609209014 | Melanie K Wise | Licensed Practical Nurse | 7763 Northside Drive, North Charleston, SC 29420 | 2013-08-21 |
| 1477883767 | Gina H Jones | Counselor | 5421 Riverbluff Pkwy, North Charleston, SC 29420 | 2010-01-08 |
| 1881825933 | Thomas Nelson Pare IIi IIi | Dentist | 8626 Dorchester Road, Ste 102, Coosaw Dental, North Charleston, SC 29420 | 2009-08-06 |
| 1992953012 | Research & Education In Sleep Technologies, LLC | Clinic/Center | 8352 Whitehave Drive, North Charleston, SC 29420 | 2008-09-03 |
| 1194838532 | Raymond S Vicente | Dentist | 7481 Northside Dr, Suite A, North Charleston, SC 29420 | 2006-08-17 |
| 1083628697 | Eunice D Freeman | Counselor | 403 Willow Court, N.charleston, SC 29420 | 2006-07-28 |
| 1750300406 | Alan Boyer Mcdaniel | Specialist | 7510 Northforest Drive, North Charleston, SC 29420 | 2006-07-19 |
| 1548240559 | John Joseph Forney | Family Medicine | 8761 Dorchester Rd Suite 230, Charleston, SC 29420 | 2006-01-18 |
| 1609320217 | Charleston Dermatology, PC | Dermatology | 5401 Netherby Lane, Ste 1202, North Charleston, SC 29420 | 2016-08-11 |
| Find all providers in zip 29420 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245559541 | Honest Healing Hands Chiropractic LLC | Chiropractor | 1179 Arant St, N Charleston, SC 29405-4308 | 2010-05-26 |
| 1033279567 | Bennett Chiropractic Center | Chiropractor | 3901 Rivers Ave, N Charleston, SC 29405-7042 | 2006-12-12 |
| 1720090186 | Dr Nichole Sears LLC | Chiropractor | 9279 Medical Plaza Dr Ste E1, N Charleston, SC 29406-9141 | 2006-08-13 |
| 1477076859 | Justin C Tretera | Chiropractor | 2294 Otranto Rd, N Charleston, SC 29406-9603 | 2017-07-18 |
| 1518317817 | Hunter Spine and Pain Center | Chiropractor | 2409 Mall Dr, Suite C, N Charleston, SC 29406-6506 | 2016-06-16 |
| 1548629397 | The Body Chiropractic | Chiropractor | 7671 Northwoods Blvd, Ste. G, N Charleston, SC 29406-4058 | 2016-02-22 |
| 1407103583 | Randall Clyde Lindstrom | Chiropractor | 2294 Otranto Rd, N Charleston, SC 29406-9603 | 2012-08-08 |
| 1568759116 | Instinctive Wellness, LLC | Chiropractor | 4995 Lacross Rd, Ste. 1000, N Charleston, SC 29406-6542 | 2011-07-05 |
| 1861781775 | Ashley River Fox Chiropractor, Inc. | Chiropractor | 7944 Dorchester Rd, Suite 3, N Charleston, SC 29418-2919 | 2011-03-31 |
| 1225261233 | Sarah Jean Galle Moore | Chiropractor | 4995 Lacross Rd, Ste. 1000, N Charleston, SC 29406-6542 | 2009-08-25 |
| Find all providers in N CHARLESTON | ||||
| City | N CHARLESTON |
| Zip Code | 29420 |
Please comment or provide details below to improve the information on COASTAL CHIROPRACTIC CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.