Organization Active NPI

Cherrydale Family Chiropractic

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1285934083
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3590 Issued in SC
Legal business name
CHERRYDALE FAMILY CHIROPRACTIC
Practice address
3223A N Pleasantburg Dr
Greenville, SC 29609-2900
Phone
(262) 206-0673
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Jeremy Wilson
Title
Doctor
Phone
(262) 206-0673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3590 SC Primary

Addresses

Primary practice location

3223A N Pleasantburg Dr
Greenville, SC 29609-2900

Mailing address

3223A N Pleasantburg Dr
Greenville, SC 29609-2900

National Provider Directory

National Provider Directory

Locations

3223A N Pleasantburg Dr
Greenville, SC 29609
Phone (864) 558-8174

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1285934083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223A N PLEASANTBURG DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223A N PLEASANTBURG DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092900",
            "telephone_number": "262-206-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYDALE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "262-206-0673"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3590",
            "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 Oct 26, 2010; 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.