Life Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2935 Issued in SC

Legal business name

LIFE CHIROPRACTIC CLINIC

Practice address

1272 Woodruff Rd
Greenville, SC 29607-5754

Phone

(864) 288-2136

Fax

(864) 288-6818

NPI assigned

Apr 12, 2008

Last updated

Apr 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yvette Erica Edwards, DCNPI 1912077173

Title

Chiropractor

Phone

(864) 288-2136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvette Erica Edwards, DC

  • Chiropractor
  • Greenville, SC
  • NPI 1912077173
  Medicare reassignment NPD Authorized official
• Donald Ross McKinney, DC

  • Chiropractor
  • Greenville, SC
  • NPI 1598876138
  Medicare reassignment NPD

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207958400000",
    "number": "1437322245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075754",
            "telephone_number": "864-288-2136",
            "fax_number": "864-288-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075754",
            "telephone_number": "864-288-2136",
            "fax_number": "864-288-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2008-04-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "ERICA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "864-288-2136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Koby Lichty, FNP
• Andrea Selena Liddell
• Madeline Liebel
• Madelyn Liebman, RBT
• Life Changing Therapeutic Solutions, LLC
• Life Coaching Institute, Inc.
• Life Health and Wellness Medical Center LLC
• Life Transitions
• Lifecycle LLC
• Lifehme, Inc.

• Chiropractor in Greenville, SC
• Providers in Greenville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; 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.