Organization Active NPI

Dove Chiropractic LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1396015657
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2188 Issued in SC
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

Updated by the provider on Jan 4, 2012

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.NPI 1881719680
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120119000886 SC Part B Supplier - Clinic/Group Practice 4284801929 Receives reassigned benefits from 1 practitioner
Practice locations: Piedmont, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.