Organization Active NPI

Greater Greenville Chiropractic, LLC

  • Chiropractor
  • Simpsonville, SC
National Provider Identifier
1609414887
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GREATER GREENVILLE CHIROPRACTIC, LLC
Doing business as
Greater Greenville Chiropractic
Practice address
205 Bryce Cir Ste a
Simpsonville, SC 29681-4842
Phone
(941) 586-2758
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Dr. Gregory Lee Smith, D.C.
Title
Owner
Phone
(941) 586-2758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

205 Bryce Cir Ste a
Simpsonville, SC 29681-4842

Mailing address

1431 Torino St
North Port, FL 34287-3987
Phone (941) 586-2758

Other identifiers 1

IdentifierTypeStateIssuer
4507OtherSCSTATE LICENSE

Other names 1

  • Greater Greenville Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

205 Bryce Cir
Ste A
Simpsonville, SC 29681
Phone (864) 243-8432

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1609414887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 TORINO ST",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873987",
            "telephone_number": "941-586-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BRYCE CIR STE A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814842",
            "telephone_number": "941-586-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER GREENVILLE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-586-2758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4507",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Greenville Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.