Active NPI
Ryan L Mitchell, DC
- Chiropractor
- Florence, SC
National Provider Identifier
1508818196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2443
- Practice address
- 1920 2ND Loop Rd
Florence, SC 29501-6123 - Phone
- (843) 678-9777
- Fax
- (843) 665-2814
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2443 | SC | Primary |
Addresses
Primary practice location
1920 2ND Loop Rd
Florence, SC 29501-6123
Mailing address
1920 2ND Loop Rd
Florence, SC 29501-6123
Phone (843) 678-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GCH162 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2443 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1508818196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 2ND LOOP RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016123",
"telephone_number": "843-678-9777",
"fax_number": "843-665-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 2ND LOOP RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016123",
"telephone_number": "843-678-9777",
"fax_number": "843-665-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "RYAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GCH162",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.