Alan David Hartley, PH.D., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2361 Issued in SC

Practice address

244 Latitude LN
Suite 104
Lake Wylie, SC 29710-8124

Phone

(803) 831-6500

Fax

(803) 831-6383

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Wylie Family Chiropractic Inc.

  • Chiropractor
  • Clover, SC
  • NPI 1891893798
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1275576472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 LATITUDE LN",
            "address_2": "SUITE 104",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108124",
            "telephone_number": "803-831-6500",
            "fax_number": "803-831-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 LATITUDE LN",
            "address_2": "SUITE 104",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108124",
            "telephone_number": "803-831-6500",
            "fax_number": "803-831-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D., DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2361",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH347",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Gipson
• Glaza Chiropractic Center, Inc
• Al Glaza
• Connor Owen Glaza, DC
• Madison Elizabeth Harkey, OTR/L
• Ellen Christine Hibberts, PA
• Christine Hogan, MA LPC LCAS CCS
• Robert Anthony Hojnacki, R.P.
• Shannon Howland, D.P,T.
• Jessica Erinn Huren, LMBT

• Chiropractor in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.