Individual provider Active NPI

Kenneth William Meisten, DC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1497858005
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2918 Issued in SC
Practice address
712 Congaree Rd
Greenville, SC 29607-3520
Phone
(864) 331-2522
Fax
(864) 288-4326
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2918 SC Primary

Addresses

Primary practice location

712 Congaree Rd
Greenville, SC 29607-3520

Mailing address

302 Daybrook Court
Greenville, SC 29605
Phone (864) 299-0948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000997 SC Practitioner - Chiropractic 2668442732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Creekview CT B
Greenville, SC 29615-4839
Phone (864) 288-8593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2918SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Meisten Chiropractic Clinic LLC Chiropractor CurrentSince Nov 8, 2010 Accepting new patients
Millstone Healthcare Associates, P.a. Chiropractor PastSince Sep 20, 2012 Accepting new patients
Advanced Chiropractic of South Carolina Chiropractor Past Accepting new patients

Locations

712 Congaree Rd
Greenville, SC 29607
Phone (864) 331-2522

1 Creekview Ct
Ste B
Greenville, SC 29615
Phone (864) 286-9966

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1497858005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DAYBROOK COURT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-299-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073520",
            "telephone_number": "864-331-2522",
            "fax_number": "864-288-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISTEN",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2918",
            "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 Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.