Individual provider Active NPI

Lisa Rochelle Klopp-Silva, D.C.

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1194802264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2548 Issued in SC
Practice address
1615 Wade Hampton Blvd
Ste B
Greenville, SC 29609-5062
Phone
(864) 292-9853
Fax
(864) 292-0562
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2548 SC Primary

Addresses

Primary practice location

1615 Wade Hampton Blvd
Ste B
Greenville, SC 29609-5062

Mailing address

1615 Wade Hampton Blvd Ste B
Greenville, SC 29609-5062
Phone (864) 292-9853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2548SCMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Chiropractic Inc PastSince Aug 11, 2003 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194802264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WADE HAMPTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095062",
            "telephone_number": "864-292-9853",
            "fax_number": "864-292-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WADE HAMPTON BLVD",
            "address_2": "STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095062",
            "telephone_number": "864-292-9853",
            "fax_number": "864-292-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPP-SILVA",
        "first_name": "LISA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.