Organization Active NPI

Darrah Family Chiropractic, LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1215280581
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3493 Issued in SC
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

Updated by the provider on Oct 17, 2017

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20130220000330 SC Part B Supplier - Clinic/Group Practice 0446405625 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.