Chiropractic of Blythewood, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2938 Issued in SC

Legal business name

CHIROPRACTIC OF BLYTHEWOOD, LLC

Practice address

749 University Village Dr
Blythewood, SC 29016-7613

Phone

(803) 691-8842

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Danielle Ream, DCNPI 1457353328

Title

Owner

Phone

(803) 691-8842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle E. Ream, DC

  • Chiropractor
  • Blythewood, SC
  • NPI 1457353328
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1457591893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 GENTRY MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296406940",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 UNIVERSITY VILLAGE DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167613",
            "telephone_number": "803-691-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC OF BLYTHEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "REAM",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-691-8842",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.