Individual provider Active NPI

Lyles Glenn Hardin, D.C.

  • Chiropractor
  • Chester, SC
National Provider Identifier
1245253269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1157 Issued in SC
Practice address
1645 J a Cochran Bypass
Ste a Accident Health Chiropractic
Chester, SC 29706-2105
Phone
(803) 581-6446
Fax
(803) 581-5189
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1157 SC Primary

Addresses

Primary practice location

1645 J a Cochran Bypass
Ste a Accident Health Chiropractic
Chester, SC 29706-2105

Mailing address

1645 J a Cochran Bypass
Ste a Accident Health Chiropractic
Chester, SC 29706-2105
Phone (803) 581-6446

Other identifiers 1

IdentifierTypeStateIssuer
CH1157MedicaidSC

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

State licenses

LicenseStateTypeSpecialty
1157SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Chiropractic Center, LLC Chiropractor PastSince Nov 9, 2016 Accepting new patients
Union Chiropractic Center Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245253269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 J A COCHRAN BYPASS",
            "address_2": "STE A ACCIDENT HEALTH CHIROPRACTIC",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297062105",
            "telephone_number": "803-581-6446",
            "fax_number": "803-581-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 J A COCHRAN BYPASS",
            "address_2": "STE A ACCIDENT HEALTH CHIROPRACTIC",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297062105",
            "telephone_number": "803-581-6446",
            "fax_number": "803-581-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "LYLES",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1157",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.