Foundation Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4089 Issued in SC

Legal business name

FOUNDATION FAMILY CHIROPRACTIC, LLC

Practice address

455 Old Trolley Rd Ste a
Summerville, SC 29485-5669

Phone

(843) 851-2417

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Kyle HeimerNPI 1013462837

Title

Owner

Phone

(815) 955-0406

Specialties & licenses 1

Addresses

Other names 1

• Elite Family Chiropractic of Charleston, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Thomas Heimer, D.C.

  • Chiropractor
  • Summerville, SC
  • NPI 1013462837
  Medicare reassignment Care Compare group NPD Authorized official
• Harper Savannah Rentz, DC

  • Chiropractor
  • Summerville, SC
  • NPI 1619662939
  Medicare reassignment Care Compare group NPD
• Alexis Cerra Robinson, DC

  • Chiropractor
  • Greer, SC
  • NPI 1427671122
  Medicare reassignment Care Compare group NPD
• Molly Schulting, DC

  • Chiropractor
  • Summerville, SC
  • NPI 1770155459
  Medicare reassignment Care Compare group NPD
• Nicole Marie Bryan, DC

  • Chiropractor
  • Blacksburg, VA
  • NPI 1508365875

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1306356845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OLD TROLLEY RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855669",
            "telephone_number": "843-851-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OLD TROLLEY RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855669",
            "telephone_number": "843-851-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "HEIMER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-955-0406"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Family Chiropractic of Charleston, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Angelyn Melody Forsyth, LAC.
• Amy Forte, LMSW
• Foster Orthodontics, PA
• Foster Orthodontics, PA
• Foundation Family Chiropractic SC, LLC
• Suzanne Laurel Fox, CRNA
• Jodie Foy
• Traci Fraley, PH.D.
• Laramie Francis, ATC
• Yariana Alena Franco

• Chiropractor in Summerville, SC
• Providers in Summerville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.