Organization Active NPI

Sparkle City Chiropractic LLC

  • Chiropractor
  • Drayton, SC
National Provider Identifier
1366912917
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPARKLE CITY CHIROPRACTIC LLC
Practice address
1802 Drayton Rd Ste 309
Drayton, SC 29333-7002
Phone
(864) 285-4492
Fax
(864) 310-6016
NPI assigned
Nov 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Dr. Laura K Taylor, DC
Title
Chiropractor/Owner
Phone
(864) 284-4492

Specialties & licenses 1

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

Addresses

Primary practice location

1802 Drayton Rd Ste 309
Drayton, SC 29333-7002

Mailing address

PO Box 907
Drayton, SC 29333-0719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200429001812 SC Part B Supplier - Clinic/Group Practice 6305276692 Practice locations: Drayton, SC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1366912917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "DRAYTON",
            "state": "SC",
            "postal_code": "293330719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 DRAYTON RD STE 309",
            "city": "DRAYTON",
            "state": "SC",
            "postal_code": "293337002",
            "telephone_number": "864-285-4492",
            "fax_number": "864-310-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "864-284-4492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drayton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.