Organization Active NPI

Cherrydale Chiropractic

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1407284870
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHERRYDALE CHIROPRACTIC
Doing business as
Healthsource of CherryDale
Practice address
2400 N Pleasantburg Dr Ste D
Greenville, SC 29609-2706
Phone
(864) 268-9040
Fax
(864) 272-3987
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Heath Alexander Sharpe, DC
Title
Owner
Phone
(404) 319-5207

Specialties & licenses 1

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

Addresses

Primary practice location

2400 N Pleasantburg Dr Ste D
Greenville, SC 29609-2706

Mailing address

2400 N Pleasantburg Dr Ste D
Greenville, SC 29609-2706
Phone (864) 268-9040

Other names 1

  • Healthsource of CherryDale Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1407284870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N PLEASANTBURG DR STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092706",
            "telephone_number": "864-268-9040",
            "fax_number": "864-272-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N PLEASANTBURG DR STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092706",
            "telephone_number": "864-268-9040",
            "fax_number": "864-272-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYDALE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-319-5207",
        "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": [
        {
            "organization_name": "Healthsource of CherryDale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.