NEW LIFE CHIROPRACTIC CENTER LLC (NPI# 1144658808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144658808 |
| Entity Type | Organization |
| Organization Name | NEW LIFE CHIROPRACTIC CENTER LLC |
| Other Organization Name | NEW LIFE CHIROPRACTIC |
| Practice Address |
4036 River Oaks Dr # B3 Myrtle Beach SC 29579-6695 |
| Mailing Address |
4036-b3 River Oaks Dr Myrtle Beach SC 29579-6615 |
| Practice Telephone | 8434507632 |
| Mailing Telephone | 8434507632 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | DR. KENNETH ALEXANDER ROGERS (CHIROPRACTOR) |
| Authorized Official Telephone | 8434507632 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC.3833 DC | SC | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| New Life Chiropractic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649444571 | New Life Chiropractic Center LLC | Chiropractor | 3451 Cobb Pkwy Nw Ste 4, Acworth, GA 30101-4000 | 2008-04-22 |
| Street Address |
4036 RIVER OAKS DR # B3 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-6695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| 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 |
|---|---|---|---|---|
| 1447774922 | Hemingway Family Chiropractic | Chiropractor | 1293 Professional Dr Ste 102, Myrtle Beach, SC 29577-5754 | 2017-07-27 |
| 1922520659 | Healing Hands Health Center Inc | Chiropractor | 4036 River Oaks Dr Unit B3, Myrtle Beach, SC 29579-6695 | 2017-07-14 |
| 1275069387 | Big Wave Chiropractic L.L.C. | Chiropractor | 3620 Walton Dr Unit C4, Myrtle Beach, SC 29577-6782 | 2017-05-10 |
| 1811337124 | Kenneth Alexander Rogers | Chiropractor | 4036-b3 River Oaks Dr, Myrtle Beach, SC 29579-6615 | 2013-07-01 |
| 1063852994 | Katie Renee Ulam | Chiropractor | 5001 N Kings Hwy Ste 204, Myrtle Beach, SC 29577-2556 | 2013-06-25 |
| 1184060170 | Jenica Hemingway | Chiropractor | 1293 Professional Dr Ste 102a, Myrtle Beach, SC 29577-5754 | 2013-05-16 |
| 1962764142 | Myrtle Beach Spine Center, Pa | Chiropractor | 100 Legends Rd, Suite A, Myrtle Beach, SC 29579-7076 | 2012-06-13 |
| 1437443058 | Jeannine Rummel | Chiropractor | 404 George Bishop Pkwy, Myrtle Beach, SC 29579-7338 | 2011-05-31 |
| 1285930180 | Brad L Linick | Chiropractor | 2105 Cromley Cir Ste B, Myrtle Beach, SC 29577-3168 | 2011-02-10 |
| 1447493671 | Matthew Edward Lentz | Chiropractor | 220 Ronnie Court, Unit 3, Myrtle Beach, SC 29579 | 2009-04-17 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
Please comment or provide details below to improve the information on NEW LIFE 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.