Active NPI
Charles Douglas Jones, D.C.
- Chiropractor
- Spartanburg, SC
National Provider Identifier
1447575212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3555
- Practice address
- 945 E Main St
Suite # 5
Spartanburg, SC 29302-2119 - Phone
- (864) 542-0780
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3555 | SC | Primary |
Addresses
Primary practice location
945 E Main St
Suite # 5
Spartanburg, SC 29302-2119
Mailing address
11210 Asheville Hwy
Suite # 2
Inman, SC 29349-6786
Phone (864) 472-0901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3555 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiroupstate Wellness Center | Chiropractor | Past | Accepting new patients |
| Carolina Physical Medicine and | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Inman, SC
- NPI 1063729531
-
- General Practice Physician
- Spartanburg, SC
- NPI 1124342506
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1447575212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11210 ASHEVILLE HWY",
"address_2": "SUITE # 2",
"city": "INMAN",
"state": "SC",
"postal_code": "293496786",
"telephone_number": "864-472-0901",
"fax_number": "864-472-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 E MAIN ST",
"address_2": "SUITE # 5",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022119",
"telephone_number": "864-542-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CHARLES",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3555",
"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 Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.