Elite Spine Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE SPINE CHIROPRACTIC LLC

Practice address

20 Creekview CT Ste B
Greenville, SC 29615-4800

Phone

(864) 203-5388

NPI assigned

Nov 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Dominic Geno Lupori, DCNPI 1548739949

Title

Doctor of Chiropractic

Phone

(719) 201-3882

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.

• Dominic Geno Lupori, DC

  • Chiropractor
  • Greenville, SC
  • NPI 1548739949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1467922799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 RIVERSIDE CHASE CIR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502521",
            "telephone_number": "719-201-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CREEKVIEW CT STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-203-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "LUPORI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "GENO",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "719-201-3882",
        "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": []
}

• Victoria Helmus Elgin
• Elise M. Bailey
• Elite Integrated Therapy Centers, LLC
• Elite Medical Group, LLC
• Elite Physical Therapy, LLC
• Elite Wellness PA
• Eliza Home Health
• Elizabeth Home Care Services LLC
• Johnathon Elkes
• Heather Marie Elkin, FNP-C

• 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 Sep 14, 2022; 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.