Organization Active NPI

Amr Enterprises, LLC

Doing business as Ryan Family Chiropractic

  • Chiropractor
  • Ladson, SC
National Provider Identifier
1063683753
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3111SC Issued in SC
Legal business name
AMR ENTERPRISES, LLC
Doing business as
Ryan Family Chiropractic
Practice address
3525 Iron Horse Rd Ste 105
Ladson, SC 29456-4331
Phone
(843) 875-1626
Fax
(873) 913-8376
NPI assigned
Mar 20, 2008
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Dr. Alice Ann Ryan, DCNPI 1093763476
Title
Chiropractor/Owner
Phone
(843) 875-1626

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3111 SC
Chiropractor 111N00000X 3111SC SC Primary

Addresses

Primary practice location

3525 Iron Horse Rd Ste 105
Ladson, SC 29456-4331

Mailing address

3525 Iron Horse Rd Ste 105
Ladson, SC 29456-4331
Phone (843) 875-1626

Other identifiers 1

IdentifierTypeStateIssuer
CH3111MedicaidSC

Other names 1

  • Ryan Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000688 SC Part B Supplier - Clinic/Group Practice 5193898849 Receives reassigned benefits from 1 practitioner
Practice locations: Ladson, SC; Summerville SC, SC

National Provider Directory

National Provider Directory

Locations

3525 Iron Horse Rd
Ste 105
Ladson, SC 29456
Phone (843) 553-9700

2007 Trolley Rd
Ste E
Summerville, SC 29485

Practitioners & affiliated clinicians

Practitioners 2

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1063683753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 IRON HORSE RD STE 105",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564331",
            "telephone_number": "843-875-1626",
            "fax_number": "873-913-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 IRON HORSE RD STE 105",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564331",
            "telephone_number": "843-875-1626",
            "fax_number": "873-913-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMR ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "843-875-1626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3111",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3111SC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3111",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ryan Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.