Individual provider Active NPI

Joshua Daniel Black, DC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1225748502
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4876 Issued in SC
Practice address
5013 Old Buncombe Rd Ste D
Greenville, SC 29617-8214
Phone
(864) 539-1868
NPI assigned
Nov 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4876 SC Primary

Addresses

Primary practice location

5013 Old Buncombe Rd Ste D
Greenville, SC 29617-8214

Mailing address

5013 Old Buncombe Rd Ste D
Greenville, SC 29617-8214
Phone (864) 539-1868

Other practice location 1

127 E Blackstock Rd
Spartanburg, SC 29301-2651
Phone (864) 513-9669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211003388 SC Practitioner - Chiropractic 7113411638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5013 Old Buncombe Rd
Suite D
Greenville, SC 29617-8214
Phone (864) 359-1868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4876SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Chiropractic LLC Chiropractor CurrentSince Sep 27, 2025 Accepting new patients

Locations

5013 Old Buncombe Rd
Ste D
Greenville, SC 29617
Phone (864) 359-1868

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1225748502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 OLD BUNCOMBE RD STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296178214",
            "telephone_number": "864-539-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 OLD BUNCOMBE RD STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296178214",
            "telephone_number": "864-539-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 E Blackstock Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293012651",
            "country_code": "US",
            "telephone_number": "864-513-9669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4876",
            "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 22, 2025; 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.