NPIMap

Organization Active NPI

Chiropractic Center of Greater Greenville

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1598707879
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3001 Issued in SC
Legal business name
CHIROPRACTIC CENTER OF GREATER GREENVILLE
Doing business as
Upstate Chiropractic Centers
Practice address
2092B Woodruff Rd
Woodruff Professional Park
Greenville, SC 29607-5939
Phone
(864) 288-9989
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
John D Goolsby, D.C.NPI 1194780601
Title
President
Phone
(864) 288-9989

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3001 SC Primary

Addresses

Primary practice location

2092B Woodruff Rd
Woodruff Professional Park
Greenville, SC 29607-5939

Mailing address

2092B Woodruff Rd
Woodruff Professional Park
Greenville, SC 29607-5939
Phone (864) 288-9989

Other identifiers 2

IdentifierTypeStateIssuer
P00413494OtherSCRR MEDICARE PTAN
DG0764OtherSCRR MEDICARE GROUP

Other names 1

  • Upstate Chiropractic Centers Doing business as

National Provider Directory

National Provider Directory

Locations

2092B Woodruff Rd
Greenville, SC 29607
Phone (864) 288-9989

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1598707879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092B WOODRUFF RD",
            "address_2": "WOODRUFF PROFESSIONAL PARK",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075939",
            "telephone_number": "864-288-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2092B WOODRUFF RD",
            "address_2": "WOODRUFF PROFESSIONAL PARK",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075939",
            "telephone_number": "864-288-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER OF GREATER GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-288-9989",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P00413494",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DG0764",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Chiropractic Centers",
            "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 Apr 8, 2008; 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.