Organization Active NPI

Community Chiro SC LLC

  • Chiropractor
  • Greer, SC
National Provider Identifier
1386164903
Registry record updated Jun 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4111 Issued in SC
Legal business name
COMMUNITY CHIRO SC LLC
Doing business as
Community Chiropracitic Center
Practice address
812 N Main St
Greer, SC 29651-1206
Phone
(864) 621-9763
NPI assigned
Jun 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2017

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

Authorized official

Name
Dr. Joel Wallace Cox, DCNPI 1720430341
Title
Doctor of Chiropractic/ Owner
Phone
(864) 621-9763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4111 SC Primary

Addresses

Primary practice location

812 N Main St
Greer, SC 29651-1206

Mailing address

202 W James St
Greer, SC 29650-2331
Phone (864) 621-9763

Other names 1

  • Community Chiropracitic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170912000654 SC Part B Supplier - Clinic/Group Practice 1153694294 Receives reassigned benefits from 1 practitioner
Practice locations: Greer, SC

National Provider Directory

National Provider Directory

Locations

812 N Main St
Greer, SC 29651
Phone (864) 469-7979

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498262400000",
    "number": "1386164903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W JAMES ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502331",
            "telephone_number": "864-621-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511206",
            "telephone_number": "864-621-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIRO SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-24",
        "last_updated": "2017-06-24",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/ OWNER",
        "authorized_official_telephone_number": "864-621-9763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Chiropracitic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2017; 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.