Active NPI
Tara Bisogna Layne, DC
- Chiropractor
- Newberry, SC
National Provider Identifier
1003109976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3646
- Practice address
- 2218 Wilson Rd
Newberry, SC 29108-1624 - Phone
- (803) 233-6188
- Fax
- (803) 233-2831
- NPI assigned
- May 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3646 | SC | Primary |
Addresses
Primary practice location
2218 Wilson Rd
Newberry, SC 29108-1624
Mailing address
2218 Wilson Rd
Newberry, SC 29108-1624
Phone (803) 271-4422
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 |
|---|---|---|---|
| 3646 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1003109976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 WILSON RD",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291081624",
"telephone_number": "803-271-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 WILSON RD",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291081624",
"telephone_number": "803-233-6188",
"fax_number": "803-233-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYNE",
"first_name": "TARA",
"middle_name": "BISOGNA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberry, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.