Organization Active NPI

100 Chiro Livingood Fraedrich PC LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1487325213
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 CHIRO LIVINGOOD FRAEDRICH PC LLC
Practice address
8 W Lewis PLZ
Greenville, SC 29605-2940
Phone
(864) 283-6014
NPI assigned
Sep 22, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brandon LivingoodNPI 1639303993
Title
PC
Phone
(719) 244-5142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

National Provider Directory

Locations

8 W Lewis Plz
Greenville, SC 29605
Phone (864) 263-3020

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

8 W Lewis PLZ
Greenville, SC 29605-2940

Mailing address

8 W Lewis PLZ
Greenville, SC 29605-2940

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2023.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1487325213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W LEWIS PLZ",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W LEWIS PLZ",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052940",
            "telephone_number": "864-283-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO LIVINGOOD FRAEDRICH PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "LIVINGOOD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "719-244-5142"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.