COSTA CLINIC OF CHIROPRACTIC, LLC (NPI# 1689731531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689731531 |
| Entity Type | Organization |
| Organization Name | COSTA CLINIC OF CHIROPRACTIC, LLC |
| Practice Address |
9945 Charlotte Hwy Fort Mill SC 29715-7134 |
| Practice Telephone | 8038028601 |
| Practice Fax Number | 8038027969 |
| Mailing Telephone | 8038028601 |
| Mailing Fax Number | 8038027969 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL THOMAS COSTA (OWNER) |
| Authorized Official Telephone | 8038028601 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
3081 | SC | Chiropractic Providers |
| Street Address |
9945 CHARLOTTE HWY |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629183108 | Michael Thomas Costa | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29715-7134 | 2006-08-21 |
| 1013253194 | Jonathan Cory Broyles | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29707-7134 | 2012-12-18 |
| 1679819726 | Broyles Chiropractic and Sports Medicine Pa | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29707-7134 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1821414962 | Martin Todd Gough | Chiropractor | 900 Bowman Rd Ste 105, Mount Pleasant, SC 29464-3218 | 2014-03-13 |
| 1275957821 | Alan F Dinehart Jr. | Chiropractor | 30 Robert Smalls Parkway, Beaufort, SC 29906 | 2014-02-18 |
| 1982955936 | Nathan Robert Terry I | Chiropractor | 1028 Edgewater Corporate Pkwy Unit C, Indian Land, SC 29707 | 2012-09-29 |
| 1952466708 | James Todd Boyd | Chiropractor | 3 Southern Ct, Ste. B, West Columbia, SC 29169-3060 | 2006-12-22 |
| 1982762019 | Jeffrey E Lagree | Chiropractor | 4201 Glen Forest Dr, Greenville, SC 29607-6101 | 2006-12-04 |
| 1740203561 | John A Pienkos | Chiropractor | 205 Hwy 17 North, Ste A, North Myrtle Beach, SC 29582-8943 | 2006-07-25 |
| 1992760524 | Marv R Cagle | Chiropractor | 307 Rutherford St, Greenville, SC 29609-5309 | 2006-04-18 |
| 1194720458 | Bradley I Mandell | Chiropractor | 3629 Suzanne Dr, Little River, SC 29566-9318 | 2005-06-14 |
| 1629627757 | Progressive Chiropractic & Orthopedic | Chiropractor | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COSTA CLINIC OF CHIROPRACTIC, 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.