Active NPI
Northside Chiropractic LLC
- Chiropractor
- Greenville, SC
National Provider Identifier
1528940418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- NORTHSIDE CHIROPRACTIC LLC
- Doing business as
- Northside Chiropractic
- Practice address
- 5013 Old Buncombe Rd Ste D
Greenville, SC 29617-8214 - Phone
- (864) 539-1868
- NPI assigned
- Jul 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Daniel Black, DC
- Title
- Owner, Lead Chiropractor
- Phone
- (864) 359-1891
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
5013 Old Buncombe Rd Ste D
Greenville, SC 29617-8214
Mailing address
5013 Old Buncombe Rd Ste D
Greenville, SC 29617-8214
Phone (864) 539-1868
Other names 1
- Northside Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5013 Old Buncombe Rd
Ste D
Greenville, SC 29617
Phone (864) 359-1868
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Greenville, SC
- NPI 1225748502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753142400000",
"number": "1528940418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 OLD BUNCOMBE RD STE D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296178214",
"telephone_number": "864-539-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5013 OLD BUNCOMBE RD STE D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296178214",
"telephone_number": "864-539-1868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSIDE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER, LEAD CHIROPRACTOR",
"authorized_official_telephone_number": "864-359-1891",
"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": [
{
"organization_name": "Northside Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 22, 2025; 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.