Upstate Clinic of Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UPSTATE CLINIC OF CHIROPRACTIC

Practice address

106 Commons Blvd Ste a
Piedmont, SC 29673-7766

Phone

(864) 478-8758

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Zachary Ayala, DCNPI 1518546092

Title

Owner

Phone

(352) 226-7212

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Zachary Ayala, DC

  • Chiropractor
  • Piedmont, SC
  • NPI 1518546092
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Grady, DC

  • Independent Medical Examiner Chiropractor
  • Greenville, SC
  • NPI 1205433406
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1356082747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COMMONS BLVD STE A",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737766",
            "telephone_number": "864-478-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COMMONS BLVD STE A",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737766",
            "telephone_number": "864-478-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-226-7212",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@upstateclinicsc.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "106 Commons Blvd Ste A",
            "city": "Piedmont",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296737766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Russell Chadwick Trotter, D.C.
• Sarah Elizabeth Twigg, CCC-SLP
• Tylan Creek Family Dentistry
• Unity Transport Group LLC
• Upstate Bariatrics Clinic
• Upstate Integrity, LLC (Right at Home)
• Upstate Neurology, P.a.
• Chrisopher Utsey, MA COUNSELING
• Nicole N Valentine
• Value Medical Inc (Value Medical Pharmacy)

• Clinic/Center in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.