Kimberly D'Amore, DC
Individual provider Active NPI Chiropractor · Tega Cay, SC
NPI 1003783069 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1003783069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5246 (SC)
- Practice address
- 1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604 - Phone
- (803) 548-2706
- NPI assigned
- Oct 22, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1149 Stonecrest Blvd
Suite 106
Tega Cay, SC 29708-6603
3512 Conway CT
Fort Mill, SC 29715-6303
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251212000533 | SC | Practitioner - Chiropractic | 2567956915 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5246 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
1149 Stonecrest Blvd
Ste 106
Tega Cay, SC 29708
Phone (704) 281-2849
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5246 | SC | Yes |
Addresses
Primary practice location
1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604
Mailing address
3512 Conway CT
Fort Mill, SC 29715-6303
Other providers in Tega Cay, SC
- Lauren Elisabeth Collins
- Heather Ann Corica
- Julia E Correal
- Sonya Monique Counts Martin
- Editha Cygan
- Maria Fernanda Dasilva
- Julius Davis
- Derrick Alfred Dempsey
- Dr. Richard-James M. Hansen & Associates (Fort Mill), P.C.
- Elizabeth Anne Duhamel
All providers in Tega Cay, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.