Foundation Family Chiropractic SC, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FOUNDATION FAMILY CHIROPRACTIC SC, LLC

Practice address

617 Myers Rd Ste G
Summerville, SC 29486-8902

Phone

(843) 851-2417

Fax

(843) 875-3817

NPI assigned

Mar 4, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Heimer, DCNPI 1013462837

Title

Owner

Phone

(815) 955-0406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Thomas Heimer, D.C.

  • Chiropractor
  • Summerville, SC
  • NPI 1013462837
  Medicare reassignment Care Compare group NPD Authorized official
• Alexis Cerra Robinson, DC

  • Chiropractor
  • Greer, SC
  • NPI 1427671122
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1538926845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MYERS RD STE G",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868902",
            "telephone_number": "843-851-2417",
            "fax_number": "843-875-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 MYERS RD STE G",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868902",
            "telephone_number": "843-851-2417",
            "fax_number": "843-875-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FAMILY CHIROPRACTIC SC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "HEIMER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-955-0406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelyn Melody Forsyth, LAC.
• Amy Forte, LMSW
• Nicholas Forte, M.ED, ED.S
• Foster Orthodontics, PA
• Foster Orthodontics, PA
• Foundation Family Chiropractic, LLC
• Suzanne Laurel Fox, CRNA
• Jodie Foy
• Traci Fraley, PH.D.
• Laramie Francis, ATC

• Chiropractor in Summerville, SC
• Providers in Summerville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.