Carolina Spine & Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CAROLINA SPINE & REHAB LLC

Practice address

1318 Haywood Rd Ste C
Greenville, SC 29615-4992

Phone

(864) 268-3400

Fax

(864) 268-4526

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Michael C. Shride, DC

Title

Co-Owner

Phone

(864) 268-3400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1487815114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 HAYWOOD RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154992",
            "telephone_number": "864-268-3400",
            "fax_number": "864-268-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 HAYWOOD RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154992",
            "telephone_number": "864-268-3400",
            "fax_number": "864-268-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPINE & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "SHRIDE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "864-268-3400",
        "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": []
}

• Carolina Periodontics & Dental Implants
• Carolina Physicians and Rehab, LLC.
• Carolina Rehab & Mobility (American Rehab of Greenville)
• Carolina Sleep Therapy LLC
• Carolina Spine & Health Inc.
• Carolina Urgent Dental Care
• Carolina Vein Care and Aesthetics, LLC (Carolina Vein Care Aesthetics, LLC)
• Carolina's Eye Care, P.a.
• Carolinas Center for Advanced Management of Pain, PA
• Carolinas Center for Dental Implants (Envision Dental Implant Centers)

• 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 Aug 9, 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.

Verify at the official NPI Registry.