Individual provider Active NPI

Kyle William Price, D.C.

  • Chiropractor
  • Simpsonville, SC
National Provider Identifier
1114340015
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3884 Issued in SC
Practice address
634 B Fairview Rd
Ste 2
Simpsonville, SC 29680
Phone
(864) 305-1009
Fax
(864) 305-1009
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC3884 SC Primary

Addresses

Primary practice location

634 B Fairview Rd
Ste 2
Simpsonville, SC 29680

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825002774 SC Practitioner - Chiropractic 1850519364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

634 B Fairview Rd
Suite 2
Simpsonville, SC 29680-6700
Phone (864) 305-1009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC3884SCMDChiropractor
3884SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adjust to Life Chiropractic LLC Chiropractor CurrentSince Jan 1, 2014 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1114340015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 B FAIRVIEW RD",
            "address_2": "STE 2",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29680",
            "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 B FAIRVIEW RD",
            "address_2": "STE 2",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29680",
            "telephone_number": "864-305-1009",
            "fax_number": "864-305-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KYLE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC3884",
            "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 Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.