Southeast Sports Chiropractic, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3484 Issued in SC

Legal business name

SOUTHEAST SPORTS CHIROPRACTIC, LLC

Practice address

115 Southport Rd
Unit F
Spartanburg, SC 29306-3813

Phone

(864) 680-3704

NPI assigned

Aug 23, 2011

Last updated

Aug 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd E Riddle, D.C.

Title

Member

Phone

(864) 680-3704

Specialties & licenses 1

Addresses

Locations

Practitioners 7

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.

• Kevin Power, D.C.

  • Chiropractor
  • Spartanburg, SC
  • NPI 1184683427
  NPD
• Reiner Danigel

  • Massage Therapist
  • Spartanburg, SC
  • NPI 1407203557
  NPD (past)
• Rhonda Jennifer Joy Elahmed, LMT

  • Massage Therapist
  • Spartanburg, SC
  • NPI 1437423910
  NPD (past)
• Jeanie Baughman Joyce, LMT

  • Massage Therapist
  • Spartanburg, SC
  • NPI 1073993812
  NPD (past)
• Laura Moore, LMT

  • Massage Therapist
  • Spartanburg, SC
  • NPI 1881131225
  NPD (past)
• Casey Kristine Sturgill, LMT

  • Massage Therapist
  • Spartanburg, SC
  • NPI 1861897068
  NPD (past)
• Darryll Andre' Williams, D.C.

  • Chiropractor
  • Winston Salem, NC
  • NPI 1346577848
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1194005157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SOUTHPORT RD",
            "address_2": "UNIT F",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063813",
            "telephone_number": "864-680-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SOUTHPORT RD",
            "address_2": "UNIT F",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063813",
            "telephone_number": "864-680-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST SPORTS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-680-3704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "3484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina Dhec (Diabetes Education Program App III)
• South Carolina Pain and Wellness Center, LLC
• South Carolina School for the Deaf and the Blind
• South Carolins School for the Deaf and Blind
• South Church Health Mart Pharmacy LLC
• Southeastern Paper Group
• Megan C. Souther, NP
• Thomas S Southerland, PHARMD
• Southern Home Care Services, Inc.
• Southern Oak Dental, LLC

• Sports Physician Chiropractor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Sports Physician Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.