NPIMap

Organization Active NPI

Cafe of Life Spartanburg, LLC

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1417024530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2988 Issued in SC
Legal business name
CAFE OF LIFE SPARTANBURG, LLC
Practice address
364 S Pine St
Suite a-200
Spartanburg, SC 29302-2655
Phone
(864) 582-7711
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ricardo Luis Florez, D.C.NPI 1821160060
Title
Chiropractor
Phone
(864) 582-7711

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 2988 SC Primary

Addresses

Primary practice location

364 S Pine St
Suite a-200
Spartanburg, SC 29302-2655

Mailing address

131 Inwood CT
Spartanburg, SC 29302-6320
Phone (864) 542-8482

National Provider Directory

National Provider Directory

Locations

364 S Pine St
Ste A200
Spartanburg, SC 29302
Phone (864) 582-7711

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417024530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 INWOOD CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293026320",
            "telephone_number": "864-542-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S PINE ST",
            "address_2": "SUITE A-200",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022655",
            "telephone_number": "864-582-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAFE OF LIFE SPARTANBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLOREZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "864-582-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.