Active NPI
Dove Chiropractic LLC
- Chiropractor
- Greenville, SC
National Provider Identifier
1396015657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2188
- Legal business name
- DOVE CHIROPRACTIC LLC
- Practice address
- 3403 White Horse Rd Ste C
Greenville, SC 29611-5946 - Phone
- (864) 220-2882
- Fax
- (864) 220-2815
- NPI assigned
- Jan 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clyde J Dove, D.C.
- Title
- Partner
- Phone
- (864) 220-2882
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2188 | SC | Primary |
Addresses
Primary practice location
3403 White Horse Rd Ste C
Greenville, SC 29611-5946
Mailing address
3403 White Horse Rd Ste C
Greenville, SC 29611-5946
Phone (864) 220-2882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3403 White Horse Rd
Ste C
Greenville, SC 29611
Phone (864) 220-2881
1614 Highway 86
Piedmont, SC 29673
Phone (864) 220-2882
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Greenville, SC
- NPI 1881719680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1396015657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 WHITE HORSE RD STE C",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296115946",
"telephone_number": "864-220-2882",
"fax_number": "864-220-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 WHITE HORSE RD STE C",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296115946",
"telephone_number": "864-220-2882",
"fax_number": "864-220-2815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOVE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "DOVE",
"authorized_official_first_name": "CLYDE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "864-220-2882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "2188",
"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 Jan 4, 2012; 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.