Active NPI
Ryan Valencic, D.C.
- Chiropractor
- Indian Land, SC
National Provider Identifier
1235404476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3709
- Practice address
- 8451 Charlotte Hwy
Indian Land, SC 29707-7587 - Phone
- (803) 548-8100
- Fax
- (803) 548-8111
- NPI assigned
- Mar 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3709 | SC | Primary |
Addresses
Primary practice location
8451 Charlotte Hwy
Indian Land, SC 29707-7587
Mailing address
8451 Charlotte Hwy
Indian Land, SC 29707-7587
Phone (803) 548-8100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1235404476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8451 CHARLOTTE HWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077587",
"telephone_number": "803-548-8100",
"fax_number": "803-548-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8451 CHARLOTTE HWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077587",
"telephone_number": "803-548-8100",
"fax_number": "803-548-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIC",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.