Individual provider Active NPI

Dartagnon Lance Ehlich, D.C

  • Chiropractor
  • Chesnee, SC
National Provider Identifier
1235323262
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2371 Issued in SC
Practice address
5895 Chesnee Hwy
Chesnee, SC 29323-8721
Phone
(864) 461-2313
Fax
(864) 461-2312
NPI assigned
Sep 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2371 SC Primary

Addresses

Primary practice location

5895 Chesnee Hwy
Chesnee, SC 29323-8721

Mailing address

5895 Chesnee Hwy
Chesnee, SC 29323-8721
Phone (864) 461-2313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000515 SC Practitioner - Chiropractic 2365691813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5895 Chesnee Hwy
Chesnee, SC 29323-8721
Phone (864) 461-2313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ehlich Chiropractic Clinic Inc Chiropractor CurrentSince Apr 16, 2022 Accepting new patients

Locations

5895 Chesnee Hwy
Chesnee, SC 29323
Phone (864) 461-2313

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": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1235323262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 CHESNEE HWY",
            "city": "CHESNEE",
            "state": "SC",
            "postal_code": "293238721",
            "telephone_number": "864-461-2313",
            "fax_number": "864-461-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 CHESNEE HWY",
            "city": "CHESNEE",
            "state": "SC",
            "postal_code": "293238721",
            "telephone_number": "864-461-2313",
            "fax_number": "864-461-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLICH",
        "first_name": "DARTAGNON",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-03",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesnee, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.