Organization Active NPI

Adjust to Life Chiropractic LLC

  • Chiropractor
  • Simpsonville, SC
National Provider Identifier
1033518642
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3884 Issued in SC
Legal business name
ADJUST TO LIFE CHIROPRACTIC LLC
Practice address
634 Fairview Rd
Suite 2
Simpsonville, SC 29680-6707
Phone
(864) 305-1009
Fax
(864) 305-1009
NPI assigned
Aug 19, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kyle William Price, D.C.NPI 1114340015
Title
Owner
Phone
(864) 305-1009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3884 SC Primary

Addresses

Primary practice location

634 Fairview Rd
Suite 2
Simpsonville, SC 29680-6707

Mailing address

634 Fairview Rd
Suite 2
Simpsonville, SC 29680-6707
Phone (864) 305-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140825002705 SC Part B Supplier - Clinic/Group Practice 7214155712 Receives reassigned benefits from 1 practitioner
Practice locations: Simpsonville, SC

National Provider Directory

National Provider Directory

Locations

634 Fairview Rd
Ste 2
Simpsonville, SC 29680
Phone (864) 305-1009

634B Fairview Rd
Ste 2
Simpsonville, SC 29680
Phone (864) 305-1009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1033518642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 FAIRVIEW RD",
            "address_2": "SUITE 2",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806707",
            "telephone_number": "864-305-1009",
            "fax_number": "864-305-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 FAIRVIEW RD",
            "address_2": "SUITE 2",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806707",
            "telephone_number": "864-305-1009",
            "fax_number": "864-305-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST TO LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-305-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.