Active NPI
Darrah Family Chiropractic, LLC
- Chiropractor
- Greenville, SC
National Provider Identifier
1215280581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3493
- Legal business name
- DARRAH FAMILY CHIROPRACTIC, LLC
- Practice address
- 1791 Woodruff Rd
Suite I
Greenville, SC 29607-5978 - Phone
- (864) 254-9915
- Fax
- (864) 254-9916
- NPI assigned
- Oct 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tandy Cleveland Gosnell III
- Title
- Business Office Manager
- Phone
- (864) 254-9915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3493 | SC | Primary |
Addresses
Primary practice location
1791 Woodruff Rd
Suite I
Greenville, SC 29607-5978
Mailing address
1791 Woodruff Rd
Suite I
Greenville, SC 29607-5978
Phone (864) 254-9915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1791 Woodruff Rd
Ste I
Greenville, SC 29607
Phone (864) 254-9915
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Greenville, SC
- NPI 1073840526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508198400000",
"number": "1215280581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 WOODRUFF RD",
"address_2": "SUITE I",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075978",
"telephone_number": "864-254-9915",
"fax_number": "864-254-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1791 WOODRUFF RD",
"address_2": "SUITE I",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075978",
"telephone_number": "864-254-9915",
"fax_number": "864-254-9916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARRAH FAMILY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-23",
"last_updated": "2017-10-17",
"status": "A",
"authorized_official_last_name": "GOSNELL",
"authorized_official_first_name": "TANDY",
"authorized_official_middle_name": "CLEVELAND",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "864-254-9915",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "3493",
"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 Oct 17, 2017; 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.